KUTZTOWN UNIVERSITY OF PENNSYLVANIA
KUTZTOWN, PA 19530
REQUEST FOR INDEPENDENT STUDY COURSE FORM
Instructions are printed on reverse side. Please type or print all information requested.
Please check one:
____ Graduate/Post Baccalaureate Certificate Student
Enter Semester/Session and Year in which you will be taking the course.
____ Undergraduate Student
__________________________________________
Semester
Session
Year
PART I
Student's Name _______________________________________________
Mailing Address _____________________________________________________________________________________________
E-mail Address _____________________________________________________________________________________________
Telephone #
_____________________________________________________________________________________________
Course Prefix, Number, and Title ______________________________________________________________________________
Name of Professor teaching the course ____________________________ Number of credits for this course ____________________
Topic: ____________________________________________________________________________________________________
Concise Description of Content (or Project) and Approach or Method of Coverage:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
PART II A. (UNDERGRADUATE STUDENT) This part must be completed, appropriately signed for approval, and submitted to
the Registrar's Office at the time you register for the particular semester or session.
Number of credits previously earned in this department ______________________________________________________________
Number of Independent Study credits previously earned in this department ______________________________________________
Have you completed the prerequisite course, if any, for this course? ____________________________________________________
Student's Signature: _____________________________________________________________ Date: _______________________
Professor's Approval: ____________________________________________________________ Date: _______________________
Chairperson's Approval: (with approval of the department): ______________________________ Date: _______________________
Approval of Dean of the College in which the course is taught: ___________________________ Date: _______________________
PART II B. (GRADUATE/POST BACCALAUREATE CERTIFICATION STUDENT) This part must be completed,
appropriately signed for approval, and submitted to the Registrar's Office at the time you register for the particular semester or session.
Student's Master Degree Program ______________________________________________________________________________
Number of Independent Study credits previously earned in this department ______________________________________________
Have you completed the prerequisite course, if any, for this course? ____________________________________________________
Student's Signature: __________________________________________________________________________________________
Professor's Signature: _________________________________________________________________________________________
Chairperson's Approval: (with approval of the department): _________________________________________________________
Approval of Dean of the College in which the course is taught: ___________________________ Date: _______________________
Approval of the Dean of Graduate Studies: ___________________________________________ Date: _______________________
PART III. (To be completed by the Registrar. Copy to be forwarded to the Assistant to the Provost.)
Please add this course to the schedule for the _________________________________________ Semester ____________________
Course Prefix & Number Credits ________________________________________________________________________________
Professor's Name _____________________________________________________________________________________________
Professor's Social Security Number _________________________________________________ Allocation ___________________
Revised 9/02
INSTRUCTIONS
Please type or print all information requested on the front of this form under Part I and IIA or B as applicable. When completing Parts I and II, please have it signed for
approval by your professor, the department chairperson, and the appropriate college dean and graduate dean, if applicable.
In consultation with the Professor who will be directing your Independent Study course, you should identify the specific topic and briefly describe its substance and ho/
you plan to explore or develop it.
UNDERGRADUATE STUDENTS: Please deliver the completed form to the Registrar's Office at the time you select courses for a given semester or session.
GRADUATEIPOST BACCALAUREATE CERTIFICATION STUDENTS: Please submit this form with your registration form to the Registrar's Office at the time
you register for a given semester or session.
REGISTRAR: Please complete Part III and forward a copy of the form to the Assistant to the Provost.
A. UNDERGRADUATE
ACC 395 Honors: Independent Study/Thesis
ANT 379 Independent Study
ANT 395 Honors: Independent Study/Thesis
ANT 398 Honors Supplemental Research
ARH 339 Independent Study in History of Art
ARH 395 Honors: Independent Study/Thesis
ART 395 Honors: Independent Study/Thesis
ARU 377 Independent Study: Art Ed I
ARU 378 Independent Study: Art Ed II
ARU 379 Independent Study: Art Ed III
ARU 380 Independent Study: Art Ed IV
ARU 395 Honors: Independent Study/Thesis
AST 370 Research in Astronomy
AST 395 Honors: Independent Study/Thesis
BIO
370 Research in Biology
BIO
395 Honors: Independent Study/Thesis
BIO
398 Honors Supplemental Research
BUS 379 Independent Study
BUS 395 Honors: Independent Study/Thesis
CDE 377 Independent Study: CDE Studio I
CDE 378 Independent Study: CDE Studio II
CDE 379 Independent Study: CDE Studio III
CDE 380 Independent Study: CDE Studio IV
CDE 395 Honors Independent Study/Thesis
CFT 377 Independent Study: Art Studio I
CFT 378 Independent Study: Art Studio II
CFT 379 Independent Study: Art Studio III
CFT 380 Independent Study: Art Studio IV
CFT
395 Honors: Impendent Study/Thesis
CHM 370 Research in Chemistry I
CHM 371 Research in Chemistry II
CHM 395 Honors: Independent Study/Thesis
CHM 398 Honors Supplemental Research
CIS
372 Independent Study/Projects in CIS
CIS
395 Honors: Independent Study/Thesis
CIS
398 Honors Supplemental Research
CRJ
379 Independent Study
CRJ
395 Honors: Independent Study/Thesis
CRJ
398 Honors Supplemental Research
DAN 380 Independent Study in Dance
DAN 395 Honors: Independent Study/Thesis
ECO 379 Independent Study
ECO 395 Honors: Independent Study/Thesis
EDU 380 Independent Study in Secondary Edu
EDU 395 Honors: Independent Study/Thesis
ELIJ 380 Independent Study in Elementary Edu
ELU 395 Honors: Independent Study/Thesis
ENG 371 Independent Study: Sel Topics in ENG
ENG 395 Honors: Independent Study/Thesis
ENG 398 Honors Supplemental Research
ENV 395 Honors: Independent Study/Thesis
ENV 398 Honors Supplemental Research
FAR 377 Independent Study: Art Studio I
FAR 378 Independent Study: Art Studio 1I
FAR 379 Independent Study: Art Studio III
FAR 380 Independent Study: Art Studio IV
FAR 395 Honors: Independent Study/Thesis
FIN
395 Honors: Independent Study/Thesis
FLA 395 Honors: Independent Study/Thesis
FRE 395 Honors: Independent Study/Thesis
FRE 398 Honors Supplemental Research
FRE 495 Independent Study in French
INDEPENDENT STUDY COURSES
GEE 395 Honors Independent Study/Thesis
GEE 398 Honors Supplemental Research
GEG 371 Independent Study in Geography
GEG 395 Honors: Independent Study/Thesis
GEL 395 Honor: Independent Study/Thesis
GEL 398 Honors Supplemental Research
GER 395 Honors: Independent Study/Thesis
GER 398 Honors Supplemental Research
HEA 380 Independent Study in Health
HEA 395 Honors: Independent Study/Thesis
HIS
379 Independent Study in History
HIS
395 Honors: Independent Study/Thesis
HIS
398 Honors Supplemental Research
INT
395 Honors: Independent Study/Thesis
ITC
380 Independent Study in A V Education
ITC
395 Honors: Independent Study/Thesis
LIB
380 Independent Study in Library Science
LIB
395 Honors: Independent Study/Thesis
MAR 370 Independent Research Marine Science
MAR 395 Honors: Independent Study/Thesis
MAR 398 Honors Supplemental Research
MAT 372 Independent Study/Project Math
MAT 395 Honors: Independent Study/Thesis
MAT 398 Honors Supplemental Research
MGM 395 Honors: Independent Study/Thesis
MKT 395 Honors: Independent Study/Thesis
NUR 370 Independent Study
NUR 395 Honors: Independent Study/Thesis
PED 380 Independent Studyin Physical Education
PED 395 Honors: Independent Study/Thesis
PHI
379 Independent Study
PHI
395 Honors: Independent Study/Thesis
PHI
398 Honors Supplemental Research
PHY 370 Research in Physics
PHY 395 Honors: Independent Study/Thesis
PHY 398 Honors Supplemental Research
POL 370 Independent Study in Political Science
POL 395 Honors: Independent Study/Thesis
POL 398 Honors Supplemental Research
PSY 395 Honors: Independent Study/Thesis
PSY 398 Honors Supplemental Research
RAR 395 Honors: Independent Study/Thesis
RUS 395 Honors: Independent Study/Thesis
RUS 398 Honors Supplemental Research
SEU 380 Independent Study in Secondary Edu
SOC 379 Independent Study
SOC 395 Honors: Independent Study/Thesis
SOC 398 Honors Supplemental Research
SPA 395 Honors; Independent Study/Thesis
SPA 398 Honors Supplemental Research
SPE
379 Independent Study in Speech Communication
SPE
395 Honors: Independent Study/Thesis
SPU 380 Independent Study
SPU 399 Honors: Independent Study/Thesis
SWK 379 Independent Study
SWK 395 Honors: Independent Studym1esis
SWK 398 Honors Supplemental Research
THE 370 Independent Study in Theatre
THE 395 Honors: Independent Study/Thesis
TVR 379 Independent Study in Telecommunications
TVR 395 Honors: Independent Study/Thesis
TVR 398 Honors Supplemental Research
WRI 371 Independent Study
WST 380 Independent Study
B. GRADUATE ARU
ARU 576 Independent Study
BUS 580 Independent Study in
Business Admin
CFT 576 Independent Study in CFT
COU 581 Independent Study
CPY 581 Independent Study
EOU 580 Independent Study
ELJ
580 Independent Study
ENG 599 Independent Study
FAR 576 Independent Study
HIS
525 Independent Study
ITC
570 Independent Study
ITC
571 Research Project I
ITC
572 Research Project II
I LIB 570 Independent Study
MAT 580 Special Topics in Math
POL 580 Independent Study
SPA 495 Independent Study in Spanish
TVR 570 Independent Study
Please check the
catalog, online catalog
and/or department for a
current list of
Independent Study
Courses available.