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T: FACULTY CONTACT: DATE: SECRETARY/ASSISTANT PHONE: E-MAIL: PHONE: E-MAIL: Department Chair Signature Date Signature Date Dean INTER-DEPARTMENT COORDINATION. Concur Do Not Concur Concur Do Not Concur Concur Do Not Concur Concur Do Not Concur Concur Do Not Concur Concur Do Not Concur Concur Do Not Concur Concur Do Not Concur Department Chair s Signature Date Department Chair s Signature Date Department Chair s Signature Da.

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