SJC DIS1 - Approval Form for Doctoral Dissertation Research

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St. John's College - Approval Form for Doctoral Dissertation Research - Form DIS1

You will select a mentor and at least two (2) additional readers from the departmental full-time faculty. Your committee will consist of at least three (3) total members, including your mentor.

First and Last Name*

First Name

Last Name

X-Number*

St. John's University Email*

Date*

Topic/Proposed Title:*

Academic Program*

(e.g., World History, PhD)

What is your Department Chair's Email? (Please select one from the list below)*

Confirm What is your Department Chair's Email? (Please select one from the list below) *

Department/Institute/Division	Chair	Email Address
Biology	Dr. Howarth	howarthd@stjohns.edu
English	Dr. Travis	travisj@stjohns.edu
History	Dr. Rumstomji	rustomjn@stjohns.edu
Psychology	Dr. Hodges	hodgese@stjohns.edu

Mentor and Reader Information

Faculty Mentor Name*

Mentor's SJU Email*

Please re-enter your mentor's SJU email? *

Dissertation Reader 1 Name*

Dissertation Reader 1's SJU Email*

Please re-enter your first reader's SJU email? *

Dissertation Reader 2 Name*

If your second reader is an outside reader, please use this name: Outside Reader

Dissertation Reader 2's SJU Email*

Please re-enter your second reader's SJU email? *

If your second reader is an outside reader, please use this email address: hyslopa@stjohns.edu

Do you have additional St. John's faculty readers on your thesis committee?*

Yes No

How many additional readers from St. John's do you have?*

1 2

Additional St. John's Readers

Dissertation Reader 3 Name*

Dissertation Reader 3's Email*

Please re-enter your third readers's SJU email? *

Dissertation Reader 4 Name*

Dissertation Reader 4's Email*

Please re-enter your fourth reader's SJU email? *

Outside Readers

Are any of your readers from outside of St. John's University?*

Yes No

Outside Reader's Name*

Date*

As the Dean, do you approve of the dissertation proposal?*

Approved Not Approved

Do you have any comments for the student?

Please explain.*