Shuttle Sheet Request

(5/1/01) SHUTTLE SHEET REQUEST West Virginia University College of Education and Human Services

Date: To: Center for Student Advising and Records

The following student is anticipating graduation at the end of this semester or summer session. Please check the record and send a shuttle sheet to if degree requirements can be met. Student’s Name

The student's committee below has previously been approved. All members have received draft copies of the thesis or dissertation, and scheduling of the final examination is requested below:

STUDENT NAME: STUDENT ID NUMBER: EMAIL ADDRESS: DEGREE: Ph.D. (e.g., Ed.D., Masters – identify)

AREA OF EMPHASIS: Counseling Psychology Psychological Foundations Major Field Minor Field EXAMINATION DATE: TIME: . PLACE-BLDG:

PROGRAM: X Dissertation Thesis Recital Problem Report Course Work TITLE OF DISSERTATION OR THESIS :

COMMITTEE: (Names Typed) SIGNATURES OF AGREEMENT TO ABOVE .

(Committee Chairperson) Jeffrey A. Daniels, Ph.D. (Department Chairperson)

NOTE: No doctoral examinations are to be given without five committee members present.

*STUDENT MUST COMPLETE FORM-APPLICATION FOR GRADUATION AND DIPLOMA *STUDENT MUST BE REGISTERED IN THE SEMESTER HE/SHE IS TO GRADUATE *PUBLICITY NOTIFICATION BY CENTER FOR STUDENT ADVISING AND RECORDS

Information regarding electronic theses/dissertations, including required electronic submission approval form is available from

the WVU Library website http://www.wvu.edu/~thesis