KU HONORS

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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
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