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Fields
Dissertation Advisory Committee Declaration
Student Information
Student Name
First Name
Last Name
Student Email
Current MTA
AIET
CAB
DMT
DRS
GGS
IMM
MIC
NEU
MTA Director
First Name
Last Name
MTA Director Email
Advisor Information
Dissertation Advisor Name
*
First Name
*
Last Name
*
Dissertation Advisor Email
*
Dissertation Advisor Name (2)
First Name
Last Name
Dissertation Advisor Email (2)
Dissertation Advisor Name (3)
First Name
Last Name
Dissertation Advisor Email (3)
Chair Advisory Committee Name
*
First Name
*
Last Name
*
Chair Advisory Committee Email
*
Advisor Name
*
First Name
*
Last Name
*
Advisor Email
*
Advisor Name
*
First Name
*
Last Name
*
Advisor Email
*
Advisor Name
First Name
Last Name
Advisor Email
Advisor Name
First Name
Last Name
Advisor Email
Advisor Name
First Name
Last Name
Advisor Email
MTA Advisor Approval
Name
First Name
Last Name
I Approve
Yes
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