UNIVERSITY HONORS PROGRAM
INDEPENDENT STUDY PROPOSAL
Name: __________________________________________ Student Number: _______________
Local Address: _________________________________________________________________
(Street)
(City, State, Zip)
Phone: _____________________________ Email: ____________________________________
Position/Project Title: ___________________________________________________________
Hours per Week: ______ Starting and Ending Dates of Project: __________________________
Supervisor Name/Title: __________________________________________________________
Phone: _____________________________ Email: ____________________________________
1. Discuss possible independent study topics with your supervisor and agree on a general
project.
2. Create and attach an independent study proposal containing the following points:
a. Description of Tasks and Duties
b. Goals and Objectives
c. Methods of Evaluation
3. Give the form and proposal to your supervisor to review, sign, and send to the Honors office
(mail code - 0355).
______________________________________________________________________________
Student Signature
Date
______________________________________________________________________________
Supervisor Signature
Date
______________________________________________________________________________
Honors Director Signature
Date