\documentclass[11pt]{article}
\textheight=9.5in
\textwidth=7in
\oddsidemargin=-.34in
\topmargin=-.75in
\renewcommand{\baselinestretch}{1.2}
\pagestyle{empty}

\begin{document}
\begin{center}
\large {\bf SCHOOL OF COMPUTER SCIENCE \\ PHD STUDENT PROGRESS REPORT FORM}
\end{center}

Note: The activities reported here cover the period starting 
from your admission day to the Ph.D. comprehensive exam day.
\medskip


\textbf{Name:}

\textbf{Supervisor(s):}

\textbf{Date of Admission}: 
\hspace{45mm}
\textbf{Admitted to Ph.D.\ 1 or Ph.D.\ 2}:  


\begin{enumerate}
\item \textbf{Courses:}
  \begin{enumerate}
  \item \textbf{Courses Taken and Grades:}
  
  \item \textbf{Courses Audited:}  

  \item \textbf{Courses TA'd:}   

  \item \textbf{Courses Taught:}  

  \end{enumerate}

\item \textbf{Publications (indicate if they are refereed):}
  \begin{enumerate}
  \item \textbf{Journals:} 

  \item \textbf{Conferences:}  

  \item \textbf{Other:}  

  \end{enumerate}

\item \textbf{Software or System Built:}  

\item \textbf{Talks Given at McGill or Elsewhere, Workshops Attended, Research Visits:} 

\item \textbf{Prizes and Awards:}  

\item \textbf{Committee Service (if relevant to research):} 


\item \textbf{Literature Review  (must be attached)}

\end{enumerate}

\bigskip

\newpage
\textbf{Overall Performance: \qquad satisfactory\underline{\hspace{20mm}}, 
\qquad NOT satisfactory\underline{\hspace{20mm}}}

\bigskip
\textbf{Comments of the Evaluation Committee:}

\bigskip

\vspace{100mm}


\textbf{Chair of the  Evaluation Committee:}
%\underline{\hspace{50mm}}
\bigskip

\textbf{Date:} %\underline{\hspace{50mm}}

\end{document}