FLAXMAN LIBRARY THESIS SUBMISSION WORKSHEET

All instructions & forms are at http://libraryguides.saic.edu/thesis Updated February 22, 2017

Save this file to your desktop and open in Adobe Acrobat to fill out. * Required Field

STUDENT’S NAME *

THESIS TITLE *

THESIS DATE * SEMESTER (Fall, Spring, Summer) YEAR

DEGREE *

PROGRAM *

ADVISOR *

READER(S) (Maximum 2)

FORMAT(S) * check ALL that apply and indicate the NUMBER of pieces in each category.

PRINTED TEXT

8.5” X 11” paper

If text block is over 4” thick, split the volumes at page(s):

other print (describe):

OTHER FORMATS

audio CD

video DVD

other (describe)

ADDITIONAL INSTRUCTIONS

(if any)

SIGNATURE *

I understand that I retain ownership of the copyright in my thesis as set forth in SAIC's Intellectual Property Policy. By submitting my thesis I agree that SAIC shall have the right to digitize, reproduce, distribute to library users, & otherwise make available my thesis, in any format or medium, for academic, educational, and/or non-commercial purposes. A thesis deposited with the library becomes part of a student's academic record. No changes may be made to a thesis after deposit with the library.

_______________________________________________________________________________________________ * Student Signature * date

THIS SECTION FOR PROGRAM:

Program contact person: _________________________________________________________________________ Phone: _________________________________________ E-mail: ____________________________________