INDEPENDENT STUDY FORM
NAME: ______________________________________________________________________________
STUDENT ID#: __________________________________ DATE: _______________________________
E-MAIL ADDRESS: ____________________________________________________________________
DIVISION:
ILO
DHP
EIB
(CIRCLE ONE)
COURSE NUMBER: _______________ (INDEPENDENT STUDY COURSE NUMBER CODES FOR FACULTY ON PAGE 2)
SEMESTER(CIRCLE ONE):
FALL 2015
SPRING 2016
NUMBER OF CREDITS FOR INDEPENDENT STUDY:
½ CREDIT
1 CREDIT
(CIRCLE ONE)
TITLE/THEME OF INDEPENDENT STUDY:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
IS THIS BASED ON A COURSE TAKEN AT ANOTHER INSTITUTION?
YES
NOTE: IND. STUDIES BASED ON A COURSE TAKEN OUTSIDE FLETCHER WILL COUNT AS NON-FLETCHER COURSES.
NO
(CIRCLE ONE)
If yes, please list: School, Course Number & Course Title, and Faculty Name:
_____________________________________________________________________________________
_____________________________________________________________________________________
HOW WILL YOU OBTAIN A GRADE FOR THIS COURSE AT FLETCHER (EX. RESEARCH PROJECT, CAPSTONE)?
_____________________________________________________________________________________
NAME OF FLETCHER PROFESSOR:
(PRINT NAME)
_________________________________________________
SIGNATURE OF FLETCHER PROFESSOR: ____________________________
(OVER)
DATE: _______________
COURSE NUMBERS FOR “300 LEVEL” INDEPENDENT STUDY – 2015-2016
COURSE#
330
354
337
313
314
315
380
326
356
368
379
352
329
323
385
359
349
344
325
335
301
324
316
306
307
308
362
331
305
387
372
360
FACULTY NAME
AKER, JENNY
APTEL, CECILE
AUCOIN, LOUIS
BABBITT, EILEEN
BASANEZ, MIGUEL
BHIDE, AMAR
BLOCK, STEVEN
BROOKFIELD, JONATHAN
BULUTGIL, H. ZEYNEP
BURGESS, JOHN
BURGESS, KATRINA
CHAKRAVORTI, BHASKAR
CHAYES, ANTONIA
CHIGAS, DIANA
CHURCH, CHEYANNE
COHN, AVERY
CONLEY-ZILKIC, BRIDGET
DE WAAL, ALEX
DREZNER, DAN
FOREST, JAMES
GALLAGHER, KELLY SIMS
GIDEON, CAROLYN
GLENNON, MICHAEL
HANNUM, HURST
HENRIKSON, ALAN
HESS, ANDREW
HITE, NANCY
JACOBSEN, KAREN
JACQUE, LAURENT
JALAL, AYESHA
JOHNSTONE, IAN
KATES-GARNICK, B.
COURSE#
339
343
365
376
328
361
345
319
384
312
351
327
333
317
375
302
318
363
338
386
350
322
382
378
377
332
390
388
310
FACULTY NAME
KHAN, SULMAAN
KLEIN, MICHAEL
KNUDSEN, JETTE
KOWALCZYK, CARSTEN
KROHN, LAWRENCE
LAVDAS, KOSTAS
LEE, SUNG-YOON
MAXWELL, DAN
MAZURANA, DYAN
PFALTZGRAFF, ROBERT
PRODROMOU, ELIZABETH
RAPPAPORT, ANN
ROUHANA, NADIM
SALACUSE, JESWALD
SCHAFFNER, JULIE
SCHENA, PATRICK
SHULTZ, RICHARD
SIMONIN, BERNARD
TANAKA, SHINSUKE
THOMAN, G. RICHARD
TILLOTSON, JAMAES
TRACHTMAN, JOEL
TUNNARD, CHRISTOPHER
UHLMANN, PHIL
WARDE, IBRAHIM
WEISS, LAWRENCE
WILKINSON, ROBERT
WILSON, KIM
YOSHIHARA, TOSHI