Name:

Chair Signature Degree

Members:

First Name Last Name Member Signature Degree

First Name Last Name Member Signature Degree

SUBMITTED BY: APPROVED BY:

Date Date Program Director Signature Student Signature

FORM A2Education Division:

Dissertation Committee

6100 Center Dr. Los Angeles, CA 90045

310-568-5600

CWID:

First Name Last Name

Committee

If you are chaning your committee members and have completed your Preliminary Oral, indicate date of completion and reason for committee change:

Chair:

Please indicate one of the following

A resume or CV must be attached for any individual who is not a faculty member of Pepperdine University. If you have more than two committee members, please attach the necessary information with signature and resume, if needed.

GSEP ED Division 2018

Establishing Dissertation Committee Members

Degree Program:

My area of research or working title is:

Changing Committee Members

Program