Community and Public Affairs Doctoral Program
College of Community and Public Affairs
CCPA 697 Independent Study
Cover Sheet
Date: _
____________________________
Name (Please Print): _
___________________________ BU#:
Student Signature: _
Phone: _
_________________________ Email: _
Semester/year:
20_
____________________________________
Fall 20_
___
Spring 20_
____________
___
Summer
___
Number of credits: __
Grading Option:
_______
Normal
Satisfactory/Unsatisfactory
Title of Independent Study
_
___________________________________________
Approval by faculty sponsor:
I have read the attached proposal and agree to act as faculty sponsor for this
independent study.
Faculty sponsor (Please Print):
Faculty sponsor signature: ___
_________________________________________
________________________________________
Community and Public Affairs Doctoral Program
College of Community & Public Affairs
Binghamton University
P.O. Box 6000
Binghamton, NY 13902-6000
Phone: 607-777-9219; Fax: 607-777-9138
09/15 Revised
IND. STUDY
CCPA 697 – Independent Study Cover Sheet