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Get Application & Chairing A Thesis Or Dissertation - Indiana State ...

Artment Last Name College First Name Middle A. Previous experience teaching, supervising, or mentoring graduate students (e.g., number of master's and/or doctoral students supervised; service on graduate committees; graduate courses taught; etc.): B. Verification of participation in mentoring and participation on thesis/dissertation committee. Date Department Chairperson Date Attended Graduate Faculty Thesis/Dissertation Workshop: Month, Day, Year Approved by: Department Committee Date.

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