Department of Psychology

Florida State University

DOCTORAL SUPERVISORY COMMITTEE

___________________________      ______________________                ____________

(print name)                                          (program)                                             (date)

Committee Signatures          

_______________________________                      _______________________________                            

(major professor)                                                          (print name)

_______________________________                      _______________________________ 

(representative-at-large)                                                (print name & department/college)                               

_______________________________                      _______________________________

                                                                                    (print name)

_______________________________                      _______________________________

                                                                                    (print name)

_______________________________                      _______________________________

                                                                                    (print name)

_______________________________                      _______________________________

                                                                                    (print name)

Approval _______________________________                  _________________________

                 Director of Graduate Studies                                    (date)

Note: A doctoral committee will consist of at least five persons (all of whom must have graduate faculty status), including the major professor, one member from the program area of the student, one member from another departmental program area (this member may not be formally affiliated with the student's home program), and one member from outside the department who will serve as the university representative (College of Medicine faculty who hold graduate faculty status through the Psychology Department are not eligible to serve as outside members of psychology students' doctoral committees. For Neuroscience students, the outside person must not be a member of the Interdisciplinary Program in Neuroscience). The university representative must have tenure and graduate faculty status.