Texas Woman’s University School of Health Promotion and Kinesiology Committee Change Request Form Complete this form, obtain all required signatures, and email a PDF copy to the SHPK Graduate Advisor Student Name Check One Box: TWU ID# Doctoral Advisory Committee TWU Email Address Doctoral Dissertation Committee Major Master’s Publishable Manuscript Committee Emphasis (If Applicable) Master’s Thesis Committee Minor (If Applicable) Name(s), role(s), and signature(s) of proposed committee member(s) to be removed (if applicable): Faculty Name Committee Role Department Signature Name(s), role(s), and signature(s) of proposed committee member(s) to be added (if applicable): Faculty Name Committee Role Department Signature Rationale for committee membership change request: Requests for committee membership changes should be made after a student meets with the School Director to identify and discuss the rationale for changing the committee membership The completed form must be submitted to the Graduate Advisor The School Director will review the request and make final decisions regarding proposed committee changes All proposed current and former members will receive notification of this request Student Signature: Date: Approved Denied Approved Denied Approved Denied Committee Chair Signature Date School Director Signature Date Dean of Graduate Studies and Research Signature Date SHPK: April, 2020