APPENDIX B

Research Project (NUR 687) and

Thesis (NUR 690)

Documentation

Delta State University

School of Nursing

NUR 687 Research Project

Committee Approval

Student Name_____________________________________           Date____________________

Academic Advisor______________________________________________________________

Graduate Faculty Member¹

  directing Research Project_______________________________________________________

Faculty Member Assisting²

  with Research Project___________________________________________________________

Faculty Member Assisting²

  with Research Project (optional)__________________________________________________

Proposed Date to Begin Research Project_____________________________________________

Proposed Date to Complete Research Project__________________________________________

Additional Comments:

__________________________________                ____________________________________

Student Signature                                                       Graduate Faculty Member directing

                                                                                    Research Project

                                                                                    ____________________________________

                                                                                    Faculty Member assisting with

                                                                                    Research Project

                                                                                    ____________________________________

                                                                                    Faculty Member assisting with

                                                                                    Research Project (optional)

1              SON Graduate Faculty:  Dr. Vicki Bingham, Dr. Lizabeth Carlson, Dr. Catherine Hayes, Dr. Lawanda Herron, Dr. D. Louise Seals, Dr. Betty Sylvest

2              SON Assisting Faculty:  Mrs. Debbie Allen, Mrs. Wanda Johnson, Mrs. Monica Jones, Mrs. Donna Koestler, Mrs. Shelby Polk, Mrs. Carleen Thompson

                                                                                NUR 687 Research Project Document, revised 05/20/08

Delta State University

School of Nursing

Research Project & Thesis Contract and Evaluation Tool

Graduate student and Chair should complete this form each semester to document a formal contract/agreement of objectives and outcome measures for evaluation for the research project and thesis.

Faculty Chair Signature_____________________________            Date_______________________

Committee Member Signature________________________            Date_____________________

Committee Member Signature________________________            Date_____________________

(optional)

Student Signature__________________________________           Date______________________

Grade Earned:    Credit (Cr)     No Credit (NC)     ________________________

If no credit (NC) earned provide written documentation.

Cc:           Entire Document to:

                Chair, Committee Member(s), Student, Advisor, COAP, Student File

                                                NUR 687 Research Project & NUR 690 Thesis Document, revised 05/20/08

DELTA STATE UNIVERSITY

SCHOOL OF NURSING

Master of Science in Nursing

Cleveland, Mississippi

Name of Candidate(s)           ______________________________________________________

                                                ______________________________________________________

Title of Project                       ______________________________________________________

                                                ______________________________________________________

                                                ______________________________________________________

Approved by:

            Advisory Committee

            ________________________________________________________________________

            Chair, Type Person’s Name

            ________________________________________________________________________

            Committee Member, Type Person’s Name

            ________________________________________________________________________

            Committee Member (Optional), Type Person’s Name

            ________________________________________________________________________

            Vicki Bingham, PhD

            Chair of Academic Programs

            ________________________________________________________________________

            Lizabeth Carlson, DNS

            Dean, School of Nursing

Date____________________________________________

                                                                        NUR 687 Research Project Document, revised 05/20/08

DELTA STATE UNIVERSITY

SCHOOL OF NURSING

Master of Science in Nursing

Cleveland, Mississippi

Name of Candidate(s)           ______________________________________________________

                                                ______________________________________________________

Title of Thesis                        ______________________________________________________

                                                ______________________________________________________

Approved by:

Advisory Committee

            ________________________________________________________________________

            Type Person’s Name and Credentials

            ________________________________________________________________________

            Type Person’s Name and Credentials

________________________________________________________________________Type Person’s Name and Credentials

Chair of Committee

            ________________________________________________________________________

            Type Person’s Name and Credentials

Dean, School of Nursing

            ________________________________________________________________________

            Lizabeth Carlson, DNS

Dean, School of Graduate Studies

            ________________________________________________________________________

            Type Person’s Name and Credentials

Date__________________                            NUR 690 Thesis Document, revised 05/25/06