DEPARTMENT OF PSYCHOLOGY - THESIS APPLICATION
FOLLOW INSTRUCTIONS CAREFULLY. THE DEPARTMENT WILL
ONLY CONSIDER FULLY COMPLETED PROPOSAL FORMS.HONORS CANDIDATE: ________________________________________ / _________________
Name / Email Date
THESIS TOPIC: __________________________________________________________________
CONCENTRATION ADVISOR SIGNATURE : ________________________________________________
THESIS COMMITTEE: A thesis committee usually consists of one supervisor and one reader.
For each committee member please list name, email address, office address, and office telephone
number.Thesis Supervisor: _____________________________________________________________
Signature: __________________________________________________________________
Thesis Co-Supervisor (if applicable): _______________________________________________
Signature: __________________________________________________________________
Agreed Reader: ____________________________________________________________Suggestions (if you do not have an agreed Reader): ____________________________________
COLLEGE COURSE RECORD -
Please provide your current College Grade Point Average _______________________
Please provide a print out of your latest course record transcript sheet from the Registrar - REQUIRED.
ATTACHMENTS - (Please check if included)
___ Printout of current Registrar's student transcript
_____ Nondepartmental Committee Member Petition
_____ Nondepartmental Committee Member CV
_____ Other Petition (specify, e.g., low GPA, advanced methods deferral, late submission)