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\begin{document}

\begin{center}
Please return to NE43-366\\[\bigskipamount]

{\small\sc department of electrical engineering and computer
science}\\[\medskipamount]

{\large\sc massachusetts institute of technology}\\[\smallskipamount]

{\em Cambridge, Massachusetts 02139}\\[\bigskipamount]

{\large\bf Application for Approval of Minor in Area II}
\end{center}

Please print legibly and in ink.

Name of Applicant: 

Address for reply: 

Email address: 

Date: 

Title or Subject of Minor: 

\bigskip

%% NOTE: You must supply ALL of the information asked for.  In
%% particular, the first column should contain the course name, not
%% just the number, and the third column must contain the number of
%% units and type of credit of the prerequisites.

\begin{tabular}{@{}|p{1.75in}|p{1.25in}|p{.70in}|p{1.75in}|}
\hline
MIT Course No. & Credit (U, G, or H) & Grade (if & Prerequisites (Course no. \\
and title      & and Units         & applicable) & Units, +U, G, or H Credit)\\
\hline
1st course name (1st course number)
    & 1st course units
    & 1st course grade
    & prerequisites
\\\hline
2nd course name (2nd course number)
    & 2nd course units
    & 2nd course grade
    & prerequisites
\\\hline
\end{tabular}

%% Use the following template if your minor includes courses not
%% taught at MIT.

%\begin{tabular}{@{}|p{2.75in}|p{1.25in}|p{.70in}|p{.75in}|}
%\hline
%Non-MIT Course No. and title & Where Taken & No. of hours & Grade \\
%\hline
%1st Course name (Course number)
%    & Where taken
%    & No. of hours
%    & Grade
%\\\hline
%2nd Course name (Course number)
%    & Where taken
%    & No. of hours
%    & Grade
%\\\hline
%3rd Course name (Course number)
%    & Where taken
%    & No. of hours
%    & Grade
%\\\hline
%\end{tabular}

\bigskip

\begin{flushright}\baselineskip=25pt\leavevmode
\hbox to 3in{Student's signature\hrulefill} \\\leavevmode
\hbox to 3in{Counselor's approval\hrulefill} \\\leavevmode
\hbox to 3in{Area Chairperson's approval (initials)\hrulefill}
\end{flushright}

\end{document}
        
