Instructional Technology

E-Form:

Master’s Portfolio/Ed.S Applied Project Notification

This form will be submitted to:
Cathy Dickson, EPIT Student Services
(cdickson@coe.uga.edu)
Semester:
Spring 2005
Application Deadline:
28 February 2005
Portfolio/Applied Project Submission Date:
28 March 2005
Portfolio/Applied Project Orals:
18-28 April 2005

(Please fill in all fields)

Name:    Social Security #:

Meeting Date: Meeting Time:

Room #: 1) (1st Choice)
  2) (2nd Choice)
Committee:* 1) (advisor)
  2)
  3)

By checking and submitting this form, you acknowledge that you have:
submitted an Application for Graduation to the Graduate School.
contacted the faculty listed above and confirmed their willingness and availability to serve on my committee for the dates/times indicated above.

Your Signature: Date:

Your email address: