Honors Hall 181 College Blvd. Kutztown, PA 19530 (610) 683-1391 KUHONORS> HONORS CAPSTONE PROJECT APPLICATION AND RECORD SHEET Due: End of advising period in semester before you start your project. A green Independent Study form must be used along with this form. The IS form goes to the department for signatures and then to the Registrar’s Office. This form plus a copy of the green IS form is returned with your proposal to the Honors Program Office. Please attach a formal proposal to this sheet. Student Name: Date: KU Email: Cell Phone: Student ID #: Course Prefix: ________ 398 or 395 (circle one) Starting Semester: ______________________________________ Thesis Advisor: Advisor Email: Advisor Department: Advisor Phone: Project Title: Proposal Approved by Thesis Advisor (Signature/Date): Proposal Approved by Honors Director (Signature/Date): Sponsored WIPS: Presented Project: / Date Place of Presentation Final Project Approved by Thesis Advisor (Signature/Date): ______________________________________________ Final Project Approved by Honors Director (Signature/Date): Revised 2/13