INDEPENDENT STUDY COURSE (VARIOUS COURSES TAKEN UNDER C & I HEAD’S NAME) CURRICULUM AND INSTRUCTION COLLEGE OF EDUCATION THIS FORM MUST BE COMPLETED AND ON FILE IN THE C & I OFFICE BEFORE THE STUDENT ENROLLS IN THE COURSE. Semester enrolled (choose one): Spring Summer Fall Section (choose one): On-Campus student (-01) Potential Course (choose ONE and write in CRN number): X Course CRN Grading X EDCI 5490 S/U EDCI 5580 Letter EDCI 5880 S/U EDCI 5890 Letter EDCI 5920 S/U EDCI 5940 S/U EDCI 5960 S/U Year . Off-campus student (-60) Course EDCI 5980 EDCI 5990 EMAT 5980 ESCI 5940 ESCI 5980 ESCI 5965 CRN . Grading S/U S/U These courses are individual study courses, for students who wish to undertake an intensive study of a special problem. Only students who have a specific problem for study and who have the necessary research, writing, and organizational skills should enroll. All work is done independently under the direction of a faculty member. The standard work load for each credit is 15-30 hours work per credit. A student is permitted to enroll for 1-3 hours in each course during any one semester. The student and instructor are expected to have conferences for planning, advisement, and evaluation of progress. (The number of such conferences is left up to the department, but in no case will the number be fewer than three.) Complete the following and return to the department office in which you plan to enroll for the course. Name ______________________________________ W# __________________ Address _____________________________________ Phone ________________ E-mail ______________________________________ Advisor or faculty you will work with on this course _____________________________________ Number of credit hours desired in the course ____________ Project deadline date _______________________ Updated 1/15/16 1 Statement of the problem for study and contractual agreement (not required for 5920/5940) Schedule You and your faculty sponsor also need to meet (a minimum of three times) throughout the semester to discuss progress. Fill in the sections below with an estimated timeline of your work. Weeks 1-5: approximate # hours Weeks 5-10: approximate # hours Weeks 10-15: approximate # hours Signature of Supervising Instructor (who will provide grade) ___________________________________________________________Date____________________ Questions: Call Kristin Lanouette at 307-766-6371 or email kherman@uwyo.edu Submit to kherman@uwyo.edu or curriculum@uwyo.edu FOR OFFICE ONLY: DATE FORM RECEIVED: DATE STUDENT GIVEN CRN#: MIDTERM GRADE ENTERED: FINAL GRADE ENTERED: Updated 1/15/16 2