SAA PRACTICUM & INDEPENDENT STUDY ENROLLMENT FORM (This form must be completed and submitted to the SAA Dept. (Sara) at sflack@uwlax.e.du prior to the course start date.) STUDENT NAME: SUPERVISOR: STUDENT IS ENROLLED IN: _____ SAA 775 for _____ 1 credit (70 hour commitment) or _____ 2 credits (140 hour commitment) _____SAA 795 (Independent Study) for _____ 1 credit or _____2 credits (depends on the depth/breadth of the focus) Notes: These courses are graded as pass/fail. IF THE STUDENT IS AT RISK TO FAIL THE COURSE, PLEASE CONTACT THE DEPT. CHAIR IMMEDIATELY. The course experience must take place during the semester you are enrolled in the course. Supervisors should keep copies of these forms for their records. START DATE: ANTICIPATED DATE OF COMPLETION: DESCRIPTION AND GOALS: 1 LEARNING OUTCOMES: PROPOSED PLAN OF EVALUATION/ASSESSMENT: 2 GOALS/LEARNING OUTCOMES SUPERVISOR COMMENTS (describe the student’s work in relation to the goals/learning outcomes and indicate why the student has “passed” this course experience) 3 4 SAA PRACTICUM & INDEPENDENT STUDY EVALUATION FORM GOALS/LEARNING OUTCOMES STUDENT COMMENTS (To be completed at completion of semester) This form should be sent via email to Sara at sflack@uwlax.edu. Due: Final day of semester (last class day). 5