Declaration of Intent

PhD Candidates
Students Name
Expected Graduation
Tentative Dissertation Title
Dissertation Committee (Requires Three Members)
Chair
Member
Member
Signatures
Committee Chair

____________________________
Date___________________________

Committee Member

__________________________
Date___________________________

Committee Member

__________________________
Date___________________________

Students Signature

____________________________
Date___________________________

Director of Graduate Study_____________________________

Date___________________________

This form must be completed no later than 6 weeks after successful completion of
comprehensive exams.