Student’s Name: ______________________ Social Security #: ________________________

 Current GPA: ______________ GRE: ___________ TOEFL (if applicable): _________

 Undergraduate Institution: ___________________________________________________

 Graduate Institution _________________________________________________________

 Tentative Dissertation Title: ____________________________________________________

 Goals and Objective of the research: (use additional sheets of paper, the space provided here is
 for informational purposes only)

  * SHOULD BE SUBMITTED BY THE BEGINNING OF THE SECOND SEMESTER OF
     STUDY

  ______________________________ __________________________
  Student Signature Expected Date of Graduation

  (Semester/Year)

  ______________________________
  Major Professor

  ______________________________
  Committee Member #1

  ______________________________
  Committee Member #2

  ______________________________
 Committee Member #3 (Minor Area)

 ________________
 Date Submitted

 ______________________________
 Graduate Committee Chairman

 ______________________________
Department Chairman
 
 

             Table A1. Proposed course work as a partial fulfillment of the Ph.D. Program
 
 

Area	Course prefix, number and title	Cr.	Grade	Semester	Transfer?
Area of  Concentration   (9 credits)
Supporting   Courses   (9 credits)
Minor Courses   (9 credits)
Dissertation with oral defense (24 credits)
Total number of credit hours: