Independent Study

Course:

Credit Hours:

Student Name:

Student Identification Number (SID):

Local Address:

Phone Number:

Semester:

Year:

Major:

GPA:

Explain why you are interested in this independent study project.

Explain what you hope to learn through this independent study project.

Why is independent study approach appropriate (as opposed to a regular course)?

Outline your overall plan of study, including progress deadlines.

Evaluation - On what will your grade be based (tests, paper, video, etc.?) How is it to be evaluated (by whom, on what basis, etc.?)

Conference Schedule - Indicate the approximate schedule for student-supervisor conferences on the project. The student is responsible for arranging specific dates and times. The supervisor should be available for regular meetings during the semester.

Faculty Supervisor:

Student Signature:

Date:

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