Thesis/Creative Project Information Form

Thesis/Creative Project Information Form
Instructions
Do not hand write - Must be typed
This form must be sent to the Office of Graduate Studies along with your thesis. A Thesis Committee Approval Form must also be included in
addition to any supplementary materials indicated below. Your thesis should be attached as a separate PDF document. All attachments should be
sent in one email to Graduate Studies. The SJSU Master's Thesis and Doctoral Dissertation Guidelines, including detailed thesis submission
instructions, and the email address to which your thesis submission should be sent are available on the Graduate Studies website
(www.sjsu.edu/gup/gradstudies/thesis/index.html).
Reading the thesis guidelines is mandatory. Please check the box below to acknowledge that you have read the SJSU thesis guidelines and that
Graduate Studies does not serve as an editor.
I have thoroughly read through the entirety of the thesis guidelines.
Student signature _____________________________________
Student Information
Last Name
First Name, M.I.
Student ID
Previous Name, if any
Email Address
Daytime Phone
Thesis Information
Thesis Chair Name
Thesis Chair Email Address
Department
Semesters & Years Enrolled in Thesis 299
Title of Thesis
Style Manual Used and Additional Documents Needed
You must select one of the following seven options and, where directed, include a link to the style guide used.
APA
Department guidelines or other specialized guidelines
Chicago
Link to department guidelines
(Do not include the SJSU thesis guidelines)
MLA
Journal format/Journal title
Turabian
IEEE
Both of the following links must be provided if a journal format was used:
Link to the instructions for authors
Link to a sample article
Please verify that you have attached all the required documents by checking the boxes that apply to you.
IRB Human Subject research approval letter
IACUC Animal Care and Use research approval letter
Permission(s) to reproduce copyrighted material in your thesis
FOR OFFICE USE ONLY - DO NOT WRITE BELOW THIS LINE
Approved for publication
Not approved - resubmit next semester
Date GAPE notified ________________
Pages with corrections/comments
Thesis/Creative Project Information Form
Version: 07-2016
Thesis/Creative Project Committee Approval Form
Instructions
Do not hand write - Must be typed
Signatures from all committee members must be present when your thesis is submitted to the Office of Graduate Studies for review. Graduate
Studies will accept either electronic or hand-written signatures as long as all signatures appear together on the same form. This form must be
included with the Thesis Information Packet. The SJSU Master's Thesis and Doctoral Dissertation Guidelines, including detailed thesis submission
instructions, are available on the Graduate Studies website (www.sjsu.edu/gup/gradstudies/thesis/index.html).
University policy S14-10 requires that a minimum of three individuals serve on a student's thesis committee. The majority of the committee
members must be SJSU tenured or tenure-track faculty. The chair of the thesis committee must be a full time, tenured or tenure-track SJSU faculty
member. Faculty participating in the Faculty Early Retirement Program (FERP) are considered active faculty members and, as such, can function as
the thesis chair. Emeritus SJSU professors may serve in any capacity as long as they have permission from the college dean. Non-faculty members
must be recognized experts in the subject matter of the thesis. If the thesis committee includes an off-campus member, please specify the affiliation
(e.g., Mr. Marvin King, M.A., CEO of ABC Corporation) in the department field and include a resume or curriculum vitae (CV) as an attachment. If
there are more than four committee members, please fill out an additional form.
Student Information
Student's Full Name
Student ID #
Email Address
Phone Number
Thesis Information
The Undersigned Thesis Committee Approves the Thesis Entitled
Submitted to the Department or School of
Thesis Committee Signatures
Thesis Chair (print) ________________________________________________________ Department _____________________________
Thesis Chair (signature) _____________________________________________________ Date
_____________________________
Second Reader (print) ______________________________________________________
Department _____________________________
Second Reader (signature) __________________________________________________ Date
_____________________________
Third Reader (print) ________________________________________________________ Department _____________________________
Third Reader (signature) ____________________________________________________ Date
_____________________________
Fourth Reader (print) _______________________________________________________ Department _____________________________
Fourth Reader (signature) ___________________________________________________ Date
_____________________________
Thesis/Creative Project Committee Approval Form
Version: 07-2016
Thesis/Creative Project License Agreement
Instructions
Do not hand write - Must be typed
This form is to be submitted to the Office of Graduate Studies along with your master's thesis. This form must be included with the rest of the
documents in the Thesis Information Packet, which includes the Thesis Information Form, and the Thesis Committee Approval Form. The SJSU
Master's Thesis and Doctoral Dissertation Guidelines, including detailed thesis submission instructions, are available on the Graduate Studies website
(www.sjsu.edu/gup/gradstudies/thesis/index.html).
Please make sure to select one of the listed access options for your thesis, and sign and date this form either with a digital signature or a hand
written signature. Note that if you choose to embargo your thesis, you may do so in 6-month increments not to exceed 60 months (five years).
Thesis Information
Student's Full Name ___________________________________________________________________________________________________
Expected Graduation Date ________________________
Thesis Title __________________________________________________________________________________________________________
Access Options
With the exception of the embargo period and types specified below, by signing and submitting this agreement, I grant San Jose State
University (SJSU) the non-exclusive license to archive and make accessible my thesis in whole or in part in all forms of media now or hereafter
known for educational, research, and scientific nonprofit uses during the full term of copyright. I retain all other ownership rights to the copyright
including the right to use in future works (such as articles or books) all or part of my thesis. I represent that the submission is my original work,
and that I have the right to grant rights contained in this license. I also represent that my submission does not, to the best of my knowledge,
infringe on anyone's copyright and that I have obtained written permission from the owner(s) of any third party copyrighted matter included in
the thesis. I certify that the digital version that I have submitted is the same as that approved by my thesis advisory committee and the Office of
Graduate Studies.
My thesis will be placed in San Jose State University's institutional repository, with the following status (you must choose from one of the
four options below):
Release the thesis immediately for access worldwide.
Release the thesis immediately for San Jose State University access only.
Embargo (delayed release) the thesis for patent and/or proprietary purposes and release the thesis for access worldwide
upon expiration of the embargo after the embargo period of (select one).
Please confirm
Embargo (delayed release) the thesis for patent and/or proprietary purposes and release the thesis for SJSU access only
upon expiration of the embargo after the embargo period of (select one).
Please confirm
Student Signature
I will clearly be identified by name as the author of the submitted work in the institutional repository. SJSU will not make any alteration
other than as allowed by this license to my submission.
Student Signature _____________________________________________________________________________________________________
Date ________________________
You may sign this form with a digital signature or a hand-written signature.
Thesis/Creative Project License Agreement
Version: 07-2016