MA PROGRAM OPTION Declaration Form Date: _ Student name: _ Student #: _ Preliminary title of RP or Thesis: Please attach two-page Research Statement Courses taken during your MA so far and Grades achieved: You must have at least a 10.5 average in your MA courses to enroll in your chosen program option – What is your average? _ Potential Supervisor and affiliation: _ Has this person agreed, in principle, to supervise? Other potential Supervisors and committee members: _ LV Nov 2021 Have they agreed, in principle, to participate? _ Student Signature _ Date: Grad Committee decision and rationale: _ Signature of Grad Supervisor _ Date **This form is due to Graduate Administrator early in second term (FT students) LV Nov 2021