% 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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\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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%\today\\

Name:\quad 
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{\small \hspace*{\fill} (Last)\hfill(First)\hfill(Middle)\hspace*{\fill}}\\
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%Last, First Middle\\

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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&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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&\hrulefill	&\hrulefill	&\hrulefill\\
&\hrulefill	&\hrulefill	&\hrulefill\\
\end{tabular}

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\end{document}

