Assignment Submission Form

University of Western Ontario
Department of Computer Science

Group Work Assignment Submission Form

This sheet must be submitted as instructed by your Course Instructor. Failure to sign and submit this form will result in a mark of 0 for the assignment. Fill in the following information:

Course #
Assignment #
Group Member 1's Full Name:		User ID 1:
Group Member 2's Full Name:		User ID 2:
Group Member 3's Full Name:		User ID 3:
Group Member 4's Full Name:		User ID 4:
Group Member 5's Full Name:		User ID 5:
Group Member 6's Full Name:		User ID 6:
Additional Member's Full Name (Include at bottom of this sheet if you need more room)		Additional User Ids:
Lecture Section
Instructor's Name
Lab Section (if applicable)
TA's name (if applicable)

By submitting this form and signing below, we declare that:

We have read the Departmental policies on Scholastic Offences.
This assignment is our own work. (If allowed to use code for this assignment that we did not write ourselves, we have properly attributed its source in the assignment.)

We have complied with the Departmental Rules of Ethical Conduct.
We have taken all reasonable precautions to ensure that our work has not been copied by other students, including the protection of our files from access by other students.

Signature 1:_________________________________________

Signature 2:________________________________________

Signature 3:_________________________________________

Signature 4:_________________________________________

Signature 5:_________________________________________

Signature 6:_________________________________________

Additional Group Members Signatures:____________________________________________________________________

Grader's Comments:

University of Western Ontario Department of Computer Science

Group Work Assignment Submission Form

University of Western Ontario
Department of Computer Science