<p>RECOMMENDATION OF DISSERTATION COMMITTEE Initial Committee Revised</p><p>Committee TO THE GRADUATE DEAN To be completed by the Committee Chair in consultation with the student</p><p>NAME: NAU ID: NAU EMAIL: PRIMARY PHONE: DEGREE/PROGRAM: ADVISOR/MAJOR PROFESSOR: </p><p>This form should be submitted for approval as soon as the committee has been identified, well in advance of t h e p r os p ect u s hearing . Please use this form to also request a change in membership of an approved committee.</p><p>Instructions and Important Points to Consider: 1. The chair must be full-time faculty employed by the student’s department. One other member must be faculty from the same department. At least one of the remaining two members must be from outside the department. Any additional members beyond the required number is optional. Please see: https://policy.nau.edu/policy/policy.aspx?num=100806. 2. Please attach the CV of any extra-departmental members not employed as faculty at NAU. 3. Attach a one to two-page summary of the proposed dissertation topic. These summaries typically include (but are not limited to): a detailed explanation of the scope and purpose of the topic; qualitative and/or quantitative methodologies used to acquire data; potential implication for the field; and a preliminary list of source material that may be used to acquire information throughout the development and evolution of the dissertation. 4. The chair is responsible for reviewing and approving this form and the summary before submission. The department chair or graduate coordinator must endorse this form before submission to the Graduate College .</p><p>Dissertation Title or Topic: </p><p>Members Terminal Degree</p><p>1. a) (Chair or Co-Chair) </p><p>Expertise Related to Dissertation: </p><p> b) (Co-Chair - optional) </p><p>Expertise Related to Dissertation:</p><p>2. </p><p>Expertise Related to Dissertation: 3.</p><p>Expertise Related to Dissertation:</p><p>4. Expertise Related to Dissertation: 5. (Optional) </p><p>Expertise Related to Dissertation:</p><p>Conflicts of Interest - Please initial to confirm:</p><p>Potential conflicts of interest have been addressed (e.g. committee members who stand to gain from specific results of the study or who may be relatives, friends, employers or peers of the student). If an unavoidable conflict is identified, continued participation by the committee member requires approval of the committee chair and a written plan to manage the conflict must be submitted to the Graduate College.</p><p>Dissertation Chair Signature: Date: </p><p>Department Chair Signature: Date: </p><p>Graduate College Approval: Date: </p>