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%____ Packages ____%
\documentclass[11pt]{article}
\usepackage{color, soul, marvosym}
\usepackage[margin=1.0in]{geometry}
%____ Begin Document ____%
\begin{document}
\thispagestyle{empty}
\section*{Paper Assignment Checklist}
\noindent
{\bf Course:} [Course Name] \bigskip \\
{\bf Assignment:} \shortstack{\underline{\hspace{6cm}}} \bigskip\bigskip\bigskip \\
{\bf Name:} \shortstack{\underline{\hspace{6cm}}} \bigskip \\
%{\bf Student ID:} \shortstack{\underline{\hspace{6cm}}} \bigskip \\
%{\bf TA:} \hrulefill \bigskip \\
{\bf Date:} \shortstack{\underline{\hspace{6cm}}} \\
\noindent
Please staple this checklist to the front of all computer typed assignments. No assignment will be graded without the checklist. Violations will be penalized by the points listed next to each item.
\vspace{1.0cm}
\hline\hline
\vspace{1.0cm}
\begin{minipage}{0.135\textwidth}
\raisebox{-\baselineskip}{\shortstack{\underline{\hspace{2cm}}\\{\small \bf(Yes)}}}
\end{minipage}
\begin{minipage}{0.8\textwidth}
\hline\vspace{0.25cm}
\begin{itemize}\itemsep-0.25em
\item My paper is in twelve-point font {\it (5 points)}
\end{itemize}
\hline\vspace{0.25cm}
\end{minipage}
\vspace{0.5cm}
\begin{minipage}{0.135\textwidth}
\raisebox{-\baselineskip}{\shortstack{\underline{\hspace{2cm}}\\{\small \bf(Yes)}}}
\end{minipage}
\begin{minipage}{0.8\textwidth}
\hline\vspace{0.25cm}
\begin{itemize}\itemsep-0.25em
\item My paper has one-inch margins {\it (5 points)}
\end{itemize}
\hline\vspace{0.25cm}
\end{minipage}
\vspace{0.5cm}
\begin{minipage}{0.135\textwidth}
\raisebox{-\baselineskip}{\shortstack{\underline{\hspace{2cm}}\\{\small \bf(Yes)}}}
\end{minipage}
\begin{minipage}{0.8\textwidth}
\hline\vspace{0.25cm}
\begin{itemize}\itemsep-0.25em
\item My paper has \underline{typed} page numbers {\it (5 points)}
\end{itemize}
\hline\vspace{0.25cm}
\end{minipage}
\vspace{0.5cm}
\begin{minipage}{0.135\textwidth}
\raisebox{-\baselineskip}{\shortstack{\underline{\hspace{2cm}}\\{\small \bf(Yes)}}}
\end{minipage}
\begin{minipage}{0.8\textwidth}
\hline\vspace{0.25cm}
\begin{itemize}\itemsep-0.25em
\item My paper is double-spaced {\it (5 points)}
\end{itemize}
\hline\vspace{0.25cm}
\end{minipage}
\vspace{0.5cm}
\begin{minipage}{0.135\textwidth}
\raisebox{-\baselineskip}{\shortstack{\underline{\hspace{2cm}}\\{\small \bf(Yes)}}}
\end{minipage}
\begin{minipage}{0.8\textwidth}
\hline\vspace{0.25cm}
\begin{itemize}\itemsep-0.25em
\item My paper contains no more than two quotations of less than ten words each {\it (5 points for each violation)}
\end{itemize}
\hline\vspace{0.25cm}
\end{minipage}
\vspace{0.5cm}
\begin{minipage}{0.135\textwidth}
\raisebox{-\baselineskip}{\shortstack{\underline{\hspace{2cm}}\\{\small \bf(Yes)}}}
\end{minipage}
\begin{minipage}{0.8\textwidth}
\hline\vspace{0.25cm}
\begin{itemize}\itemsep-0.25em
\item I've submitted an electronic copy of my paper to the instructor {\it (Assignment will be treated as incomplete)}
\end{itemize}
\hline\vspace{0.25cm}
\end{minipage}
\vspace{0.5cm}
\begin{minipage}{0.135\textwidth}
\raisebox{-\baselineskip}{\shortstack{\underline{\hspace{2cm}}\\{\small \bf(Yes)}}}
\end{minipage}
\begin{minipage}{0.8\textwidth}
\hline\vspace{0.25cm}
\begin{itemize}\itemsep-0.25em
\item I did not plagiarize or violate the Colleges' academic honor code {\it (See syllabus)}
\end{itemize}
\hline\vspace{0.25cm}
\end{minipage}
%====================================================================%
\end{document}