CSCI 4141 - Confirmation of Independent Work

Please print this form and submit it with each and every milestone.

I, the undersigned, certify that the work I have submitted for Milestone _____ is the product of my own work. Any additional software packages that I have used are listed as follows and have been previously approved by Dr. Shepherd:


Name: _____________________________________

Student Number: ___________________________

Signature: _______________________________

Date: ____________________________________