University of West Georgia

School of Nursing

MSN Program

Thesis/Project Committee Consent Form

 

 

The student noted below has requested that I serve on her/his Thesis/Project Committee in the capacity of Member or Chairperson to assist in the preparation of the thesis/project.  It is understood that this will involve meeting with the Committee and providing assistance to the student while completing the thesis/project. In the event the need arises to withdraw my participation, the Chairperson of the committee, Coordinator of the MSN Program, Chair of the Department of Nursing, and the student will be notified in writing one month in advance of discontinuation of the committee.

 

 

Proposed Title of Thesis/Project:

 

 

 

Student:

 

Date:

 

 

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Signature of Chairperson

 

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Signature of Member

 

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Signature of Member

 

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Student