CALIFORNIA STATE UNIVERSITY, LOS ANGELES
SCHOOL OF EDUCATION

Notel The EGS-12 is submitted as one of
the requirements for completion of 599A
You must advance to candidacy
prior to enrolling in 599A.

REQUEST FOR APPROVAL OF THESIS/PROJECT TOPIC AND COMMITTEE

(Please type or print)
__________________________________________________________________________________
Last Name First Initial         CIN #

Topic for the proposed Thesis/Project (circle one) is:

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The following faculty have approved the proposed thesis/project topic and agree to serve as committee members:

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APPROVED: 
________________________________________
Thesis/Prolect Chairperson* 		 ____________________________________
Division Chairperson
________________________________________
Committee Member		 _____________________________________
Division Chairperson 
________________________________________
Committee Member**		 _____________________________________
Division Chairperson
________________________________________
Program Coordinator (as applicable)		 ______________________________________
Date
________________________________________
Associate Dean, School of Education		 ______________________________________
Date
*The Chairperson must be a full-time member of the School of Education faculty.
**One committee member must be outside your division.
 
Distribution
Associate Dean's Office
Division
Student
(3393)
EGS-12