Jackson State University- Division of Graduate Studies

Application for Admission to Graduate Degree Candidacy:  Specialist in Education

Directions:  On-line directions are found in "CyberOrientation".  Click here:  Specialist.

Please submit three (3) copies of form (one original and two copies) to the Division of Graduate Studies.


Section 1.  To be completed by the student.  Complete the "typed" section prior to printing and obtaining the required signatures.

Name:   JSU ID No. J

Street, Apt. No.

City, State, Zip.

Home/Cell Telephone:    E-mail:   

Degree and Concentration:  

Expected Date of Graduation:   Year:   Semester: 

Signature of Student/Date:  ___________________________/____

Title:



Section 2. Committee Approval:  We have read this proposal for significance, methodology, sources of data, compliance with IRB/IACUC regulations and recommend its acceptance. We agree to serve on this committee in accordance with the policies of the department/program, college, and Division of Graduate Studies.  Note:  The Committee must be formed at this time.

Signatures

Committee Chair/Date

Name Typed:


Committee Member/Date

Name Typed:


Committee Member/Date

Name Typed:



Committee Member/Date

Name Typed:



Committee Member/Date

Name Typed:



External

Committee Member/Date

Name Typed:




Section 3.  Certification and Recommendation of the Department/Program and College.

We have examined the entire graduate record of the student named above. The required graduate point average (GPA) has been maintained on all graduate course. The requirements of the department/program, school, college and the Division of Graduate Studies for Candidacy have been met. (Please attach a current Degree Evaluation)

We recommend that this student be admitted to candidacy for the degree indicated. (Please sign and date).


Major

Advisor: ________________________________/______

Graduate

Program Director: _______________________________/_______

Department

Chair: ________________________________/______

Academic

College Dean: _______________________________/_______


Section 3.  Accepted for the Graduate Council.


Graduate Dean:  _____________________________________

Effective: January 2008, supercedes Forms A and II.