\documentclass{article} \begin{document} \centerline{\bf Oral Examination Approval Form for \'{E}variste Galois} \centerline{Department of Mathematics and Statistics} \centerline{ University of Massachusetts Amherst} \centerline{April 1, 2019} \vspace{.5cm} \noindent {\bf Committee chair:} Professor Karl Weierstrass \\ {\bf Course/Independent Study:} Math 725: Functional Analysis (Spring 2019) \vspace{.5cm} \noindent {\bf Committee member:} Professor Sophie Germain\\ {\bf Course/Independent Study:} Math 799: Diophantine Equations (Spring 2019) \vspace{.5cm} \noindent {\bf Committee member:} Professor John Nash\\ {\bf Course/Independent Study:} Math 797TM: Theory of Games: Hungry Hungry Hippos (Fall 2018) \vspace{.5cm} \noindent {\bf Date of Examination:} June 1, 1832 \vspace{.5cm} \noindent {\bf Topics list for Math 725} \begin{enumerate} \item First topic \item Second topic \item Third topic \end{enumerate} \vspace{.5cm} \noindent {\bf Topics list for Diophantine Equations} \begin{enumerate} \item First topic \item Second topic \end{enumerate} \vspace{.5cm} \noindent {\bf Topics list for Math 797TM} \begin{enumerate} \item First topic \item Second topic \item Third topic \item Fourth topic \end{enumerate} \noindent {\bf Format of examination:} \vspace{1cm} \begin{tabular}{l} \rule{4in}{0.5pt} \\ Karl Weierstrass \\ Chair of the Examination Commitee \end{tabular} \vspace{1cm} \begin{tabular}{l} \rule{4in}{0.5pt} \\ Sophie Germain \\ Member of the Examination Commitee \end{tabular} \vspace{1cm} \begin{tabular}{l} \rule{4in}{0.5pt} \\ John Nash \\ Member of the Examination Commitee \end{tabular} \vspace{1cm} \begin{tabular}{l} \rule{4in}{0.5pt} \\ Tom Braden \\ Director, Graduate Program \end{tabular} \end{document}