Applicant: Please complete Part A of this form and return with completed application materials.
I, ____________________________ (applicant's name), have contacted _________________________ (proposed advisor's name) and he / she has agreed to serve as advisor for my graduate program, contingent upon acceptance into the program.
_______________________________ (Applicant's signature)
For Official Use Only
I agree to serve as graduate advisor for the above applicant.
______________________________ (Advisor's signature)