EmailMe Form - CSBS Committee Matching Request Form

Congratulations!

You have reached a significant milestone in your doctoral journey. It is time to request that your doctoral capstone committee be matched to your projected study. This is an important step in the process; delay in submission or incomplete forms may delay future registration and progress.

Your program leadership will use information provided via this form to review your plans and needs to match you with an appropriate committee chair and second committee member. You may choose to request specific faculty members to serve on your committee. Requested faculty must be from within your program.

Please note that, while we would like to honor all requests, the program leadership must take a number of factors into consideration. Faculty availability, expertise, and eligibility are among the considerations used for matching your content and methods plan to a committee chair and member.

Instructions

• Complete Part A: Student Information (Note: You will attach a copy of your most recent premise or prospectus in this section)

• Complete Part B: Faculty Information (Note: If you have identified specific faculty members you would like to request serve on your committee, you will need to attach a confirmation e-mail from each faculty member in this section.

• Submit Form

• PhD Students Only: Upload Confirmation E-mail (received upon successful submission) to the Assignment area of the Classroom to demonstrate completion of this assignment.

This confirmation e-mail will contain information about timelines and next steps in this process. Please review it carefully.

Today's Date *

MM / DD / YYYY

Enter today's date. You can click on the calendar icon, on the right hand side of this field, to easily select the date.

Part A: Student Information

Student ID *

Your student ID generally begins with "A00". If you need help, you can find your student ID on the upper-right corner of your student portal or on your degree audit.

Student Name *

First Last

List your name as it is listed in your Walden student record.

Student Walden Email Address *

School *

Program *

Other: Please specify your program.

What is the purpose of this request? *

Title of Prospectus/Premise *

Are you a Fast Track Student? *

Yes

No

If so, you must attach an email from your current dissertation faculty indicating you are ready to move.

Attach letter from current Dissertation Faculty *

Enter the Quarter and Year that you want the committee assignment to start *

For example: Fall 2018

Attach Prospectus or Premise *

I am requesting assistance from CSBS in finding a Chair? *

Yes

No, I have identified the following member to serve as my chair.

No, I already have an assigned chair.

Current Assigned Chair

First Last

Selected Chair Information

ID #

Chair Name *

First Last

Faculty Walden Email Address *

School *

Program *

Other: Please specify

Content or Methodology *

Content

Methodology

Select only one option

Type of Methodology

Attach email from Chair confirming assignment *

I am requesting assistance from CSBS in finding a committee member? *

Yes

No, I have identified the following member to serve as my second committee member.

No, I already have an assigned committee member.

Current Assigned Second Member

First Last

Selected Committee Member Information

ID #

Committee Member Name *

First Last

Committee Member Walden Email Address *

Committee Member School *

Committee Member Program *

Committee Member Other: Please specify

Committee Member Content or Methodology *

Content

Methodology

Select only one option

Committee Member Type of Methodology

Attach email from Committee Member confirming assignment *