G-TSF
Thesis Signature and Approval Form
Instructions:
1. This form should be filled out on your computer, then saved with a new file name to your local disk.
2. Next, print the form and obtain the necessary signatures.
3. Finally , deliver the completed form in an envelope or folder marked G-TSF, with attention to the Graduate School Coordinator for your program to: The
Graduate School, 901 Sumter Street Byrnes Building, Suite 304
Name:
USC ID:
Last Name
First Name
Has presented to the committee a thesis in the field of:
Middle Name
Major Field
Degree
School/College
Date passed thesis defense; student's committee has approved the manuscript:
Title of Thesis:
Authorized Supplementary Media Files for Electronic Submission( If applicable)
Please identify by name any multimedia files that have been approved for submission by the thesis committee.
Attach a sheet with any additional file names.
File #1:
Delayed Release (embargo)
2 Years
6 Months
1 Year
Not Requested
Author request for delayed release (embargo) of dissemination is:
Please attach justification memo for embargo request, signed by both major advisor and program graduate director.
Committee recommendation for embargo is:
Not Requested
Not Approved
Approved
Examining Committee
This form must be signed by the thesis director and all committee members attesting to the completion and revision of final
thesis document.
Thesis Director Signature
Type or Print Name
Additional Thesis Director Signature (If applicable)
Type or Print Name
Reader Signature
Type or Print Name
Reader Signature
Type or Print Name
Reader Signature
Type or Print Name
Citation and Reference Style Certification
I, as Graduate Director, assume responsibility for certifying that the style of citation listed below was used in preparing
this thesis. The thesis has been reviewed by the committee for style adherence and completion of revisions requested
by the student's committee and the Graduate School.
Name of Style:
Department Graduate Director's Signature
Date