REQUEST FOR APPROVAL FOR INDEPENDENT STUDY
COLLEGE OF LIBERAL ARTS
DEPARTMENT OF_______________________________
________________________________________
STUDENT NAME
___________________________
STUDENT NUMBER
____________________
_____________________
TERM
COURSE NUMBER
______________________
CREDIT HOURS
According to current University policy, page 26 of the current Bulletin students:
may enroll in a maximum of two independent study courses for a total of six
semester hours credited toward the baccalaureate degree. They must have met
the following prerequisites: (1) a minimum of 75 semester hours completed; (2) a
minimum cumulative grade point average of 2.5 overall or 2.75 in the department
in which the independent study is being done; (3) a minimum of 10 semester hours
in the department completed; (4) permission of the department chairperson.”
Please indicate:
1.
Semester hours completed prior to beginning of this proposed study
___________
2.
Overall GPA
___________
3.
Departmental GPA
___________
4.
Hours completed in the department
___________
TITLE OF PROPOSED
TOPIC:_____________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Brief description of proposed study:
Study will be evaluated by: (check appropriate blank)
________ Exam
________Paper
________Creative Project(s)
__________________________________________
_______________________________________
STUDENT SIGNATURE
SUPERVISING INSTRUCTOR SIGNATURE
___________________________________________
DEPARTMENT CHAIR SIGNATURE