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Home / IGS – Approval of Thesis/Dissertation Form

IGS – Approval of Thesis/Dissertation Form

"*" indicates required fields

STUDENT SECTION

To be completed by the student.

Name*

First Last

Student Number*

Email*

Enter Email Confirm Email

Degree*

Master's Degree

Doctoral Degree

Program of Study*

IGS Themed

IGS Individualized

IGS Theme*

Supervisor:*

Supervisor's Department/Faculty*

Do you have a co-supervisor?*

Yes

No

Co-supervisor Name*

First Last

Co-Supervisor Email Address:*

Enter Email Confirm Email

Number of committee members (not including supervisor and co-supervisor)?*

Committee Member 1 Name*

First Last

Committee Member 1 Email Address:*

Enter Email Confirm Email

Committee Member 2 Name*

First Last

Committee Member 2 Email Address:*

Enter Email Confirm Email

Committee Member 3 Name*

First Last

Committee Member 3 Email Address:*

Enter Email Confirm Email

Committee Member 4 Name*

First Last

Committee Member 4 Email Address:*

Enter Email Confirm Email

Proposed Thesis/Dissertation Topic (with as much specificity as possible):*

Does this proposal require research ethics approval?*

Yes

No

Has ethics approval been obtained for this project?*

Yes

No

Date of research ethics approval:*

MM slash DD slash YYYY

Signature*

Date*

MM slash DD slash YYYY

Hidden

PROGRAM ASSISTANT SECTION

To be completed by the student's program assistant.

Hidden

Student's Program Coordinator:*

Note: This field triggers the workflow for the final sign-off of the form. Please select the person with the authority to provide the final sign-off of this student's form.

Hidden

Signature*

Hidden

Date*

MM slash DD slash YYYY

Hidden

SUPERVISOR SECTION

Hidden

Supervisor Name:*

First Last

Hidden

Supervisory Signature:*

Hidden

Date*

MM slash DD slash YYYY

Hidden

PROGRAM COORDINATOR SECTION

To be completed by the student's program coordinator.

Hidden

Program Coordinator Name:*

First Last

Hidden

Signature*

Hidden

Date*

MM slash DD slash YYYY

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Kelowna, BC Canada V1V 1V7

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Fax 1 855 320 5630

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