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Summary: 23 Notice of Completion of Practicum or Research Project| UGA Institute of Gerontology
Notice of Completion of Practicum or Research
Project
This form is to be completed at the time a practicum or research project has been completed. Please do not
complete this form if the practicum or research project has not received prior written approval from the
Institute of Gerontology. Please return this completed form to Assistant Director, Institute of Gerontology, 255
E. Hancock Ave., University of Georgia, Athens, GA, 30602-1775.
Student's Name
Local Address
Telephone (Work) (Home)
Email Address
Date that the research project or practicum was approved:
Date that the research project or practicum was completed:
Course number, semester enrolled and number of credits received for research project or practicum:
Brief descriptive title of research project or practicum:
Please attach a copy of the final product (paper, summary, thesis, etc.) that resulted from the research project
or practicum.
APPROVALS
Student's signature ` Date
Supervisor's signature Date
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