% LaTeX source for the Dissertation Proposal Acceptance form
% Department of Mathematics, Ohio University
%
% If you just want to print a form, get the .pdf version instead.
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% This version lets you fill in data.
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\documentclass[12pt]{article}
\usepackage{graphicx}
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\begin{document}
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\hfill {\Large \bf Department of Mathematics}
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\subsection*{Dissertation Proposal Acceptance Form}
\hspace*{\fill}Date:\quad
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{\underline{\hspace{2.5in}}}\\
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Name:\quad
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{\small \hspace*{\fill} (Last)\hfill(First)\hfill(Middle)\hspace*{\fill}}\\
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ID\#:\quad
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%P0xxxxxx\\
Proposal Title:\quad
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%%%%% your data
%Many great Theorems\\
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$[ \quad]$
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%$[ X ]$
Written copy of proposal attached.\\
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\subsubsection*{Approval Signatures}
By signing below the committee approves the given dissertation proposal.
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\begin{tabular}{cp{5cm}p{5cm}p{2cm}}
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&Name &Signature &Date \\
Advisor &
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%Dr. Isaac Newton
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Committee&
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%Dr. somebody
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\end{document}
