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NOTICE of INTENT TO COMPLETE A MASTERS THESIS This form is to be used for students in programs that give an option of completing a thesis UCA ID: Name: Date: Masters Program: I intend to complete a thesis in order to obtain a Masters Degree in the program listed above Student’s signature Date APPROVED: Department Chair’s Signature Date SUBMIT TO: University of Central Arkansas Graduate School 201 Donaghey Avenue Torreyson West 328 Conway AR 72035 RECEIVED: Graduate School Representative Date

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