Dissertation_PhD (PhD )_1

DISSERTATION TOPIC FORM

FOR PhD STUDENTS

Year

Semester

Language

Name
Program

Student ID number
Area

Year in Program

Proposed dissertation title, rough outline, and initial bibliography: (attach pages)

PhD students should consult with their department chair or another departmental faculty member to discuss
a possible dissertation topic, research interests, and potential questions or hypotheses. The students should
be prepared to do direct reading to formulate a workable dissertation topic.

________________________________
Signature of Student

_______________________________
Date

Submit this form with the signature of your potential dissertation advisor to Academic/ Admissions Office.
Retain a copy for your records.
FOR POTENTIAL DISSERTATION ADVISOR
USE ONLY
Signature

Date

As of 03-14-2012