Department of Mathematics
INDEPENDENT STUDY APPROVAL FORM
Undergraduate or graduate students interested in taking an independent study for credit
should read and adhere to the following rules:
1. Minimum overall GPA of 3.0 (and a minimum GPA of 3.5 in mathematics courses) is
required.
2. Maximum of 9 credit hours or independent study will count toward a degree; may
not exceed 25% of minimum number required for an MS in Mathematics.
3. Approval of a regular full-time faculty member is required before a student may
register for an independent study.
4. This agreement signed by the student and the supervising faculty stating what
material will be covered, the time schedule, agreement on tests, homework, etc. and
the grading procedures.
5. After this form is completed and signed by all parties the student should return it to
the Math Program Assistant in (ENG 274) to obtain a permission number.
This is to certify that I agree to serve as the supervising instructor for:
Student Name ___________________________________ Student ID _______________________________
E-Mail _________________________________________________
Semester (Circle One) SPRING
SUMMER FALL
Year___________
☐Undergraduate Independent Study MATH 9400
☐
Credit Hours (1-3) ______
Graduate Independent Study MATH 9500 Credit Hours(1-3) ______
Brief description of independent study coursework:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
______________________________________
Student Signature
______________________________________________
Instructor Signature
Department Chair Signature: __________________________________________________________
STUDENT PERMISSION NUMBER:
DATE: