Independent Study Form (IDT)
Department of Instructional Design & Technology
Request to Register: IDT 591 Independent Study (1-4 sh) Prerequisite: 15 hours in IDT coursework
To register for IDT 591, you must complete this form, secure the approval of the supervising faculty
before obtaining the department chair permission to enroll. Requests lacking detailed and specific plans
and end products will be denied.
Student Name:
Student ID No.:
# Hours Requested: _________
Star #:_______________________
Semester:
Spring 20
Fall 20
Number of semester hours competed in IDT:
Faculty member to supervise the study:
Topics to be Independently Studied:
Summer 20
Describe Major Tasks and End Product(s) to be Completed:
Scheduled meetings and other timelines:
Student signature:
Date:
Faculty member signature:
Date:
Department Chair signature:
Date:
Enrolled by:
Date:
Independent Study Form – last revised May 22, 2007