Graduate Student Planning Form
Name
Student ID Number
Mailing Address
City
State
Zip Code
Daytime Phone
Evening Phone
E-mail Address
Did a particular faculty member recruit you to this institution?
How did you hear about this program?
Do you intend to complete
THESIS OPTION
If you plan on doing a Theses, what is the proposed project topic?
Please describe the protocol you wish to pursue:
Do you think this project will require approval for human subject involvement from CMU and your data collection site?
Will HIPPA regulations be an issue?
When do you plan to start and finish your Plan B paper or Thesis?
An advisor will be assigned to you based on availability and interest.
PLAN B OPTION
If you plan on a Plan B paper, what is the topic?
Do you intend to do the Plan B paper in a classroom format?
If not, do you intend to work with a faculty member individually?
If working with a faculty member individually, please describe the intended outcome and whether or not you intend to pursue publication of your Plan B paper.
An advidor will be assigned to you based on availability for non-classroom Plan B work.
COURSEWORK ONLY OPTION
Do you plan on completing a Plan B Coursework option?
If you plan on completing a Plan B (coursework only) option, please explain why.
Program director or other faculty/staff will be assigned to you as your advisor.
For questions contact:
Candance Maylee
Assistant Coordinator HEV Graduate Programs
mayle1ce@cmich.edu
Phone: 989-774-2613
Fax: 989-774-2435