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\lhead{Name:}
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\begin{document}

\begin{center}
{\Large{\bf{Math 1010 Contract}}}\\
\end{center}

\vspace{2ex}

\textbf{Your goals for this semester and this class}:  \hrulefill

\vspace{2ex}
\hrulefill
\\

\vspace{1cm}
\textbf{In order to facilitate the achievement of my goals for you, I ask that you:}
\begin{enumerate}
\item Engage fully and thoughtfully in all in and out of class activities.
\item Assist others in their learning journey both in class and online.
\item Not allow outside considerations to distract you from the work at hand.
\item Communicate with me regularly both about your  mathematical needs, as well as any administrative issues you may have. Carefully read all the course related correspondences.
\item  Abide by all the University of Utah rules for academic behavior. 
\end{enumerate}

\vspace{1cm}
\textbf{In order for you to achieve your goals, you will need from me and your peers:}
\begin{enumerate}
\item  \hrulefill
\item  \hrulefill
\item  \hrulefill
\item  \hrulefill 
\item  \hrulefill

\end{enumerate}
\vspace{2cm}


\textbf{In order for you to achieve your goals, you intend to: }
\begin{enumerate}
\item  \hrulefill
\item  \hrulefill
\item  \hrulefill
\item  \hrulefill 
\item  \hrulefill

\end{enumerate}

\vspace{2cm}

\begin{tabular}{p{5cm} p{6cm } p{9cm}}
\textoverline{Your signature $\ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ $}&
\textoverline{Your peer's signature $\ \ \ \ \ \ \ \ \ \ \ \ \ \ $}&
\textoverline{Instructor's Signature  $\ \ \ \ \ \ \ \ \ \ \ \ \ \ $} 
\end{tabular}

\end{document}

