The Richard Stockton College of New Jersey Office of by zlf11327

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									                                  The Richard Stockton College of New Jersey
                                          Office of Graduate Studies
                                            Thesis Committee Form

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STUDENT NAME: ________________________________________ Number of Credits Registering For: ________

STUDENT Z NUMBER: ______________________________________ GRADUATE PROGRAM:            _______________________________

LOCAL ADDRESS: _________________________________________________________________________________________________

                  _________________________________________________________________________________________________

PHONE: (HOME) ______________________________________ (CELL) __________________________________________

E-MAIL:           ______________________________________________________________________

THESIS TOPIC:     _____________________________________________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

THESIS COMMITTEE:

    CHAIR:      _____________________________________________    ______________________________________________
                     PRINT NAME                                            SIGNATURE

                ____________________________________________
                    TITLE


(2) MEMBERS: _____________________________________________       ______________________________________________
                  PRINT NAME                                               SIGNATURE

                _____________________________________________
                     TITLE

                ______________________________________________   ______________________________________________
                     PRINT NAME                                            SIGNATURE

                ______________________________________________
                     TITLE




APPROVED BY DIVISIONAL DEAN               _________________________________________      ______________
                                                      SIGNATURE                          DATE


APPROVED BY DEAN OF GRADUATE STUDIES _________________________________________             ______________
                                                 SIGNATURE                                 DATE

                  Return this original, completed form to the Office of Graduate Studies (E-226)
   Note: Graduate Office, send one copy to Program Director, Divisional Dean and one copy to Student Records

								
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