School of Humanities and Sciences
APPLICATION FOR AN INTEGRATIVE STUDIES DEGREE
Before completing this Application, students interested in pursuing an Integrative Studies degree (B.A. or B.S.)
must first meet with the faculty coordinator of Integrative Studies. Information about the program and the
application process can be found at http://www.ithaca.edu/hs/plannedstudies/. Please download this form and
complete it using Word (handwritten, hard copy forms will not be accepted); note that there are four sections
of the Application Form, and supplementary materials also required. All materials should be submitted together,
electronically as email attachments, to the Program Coordinator.
I. STUDENT INFORMATION
Name
E-mail address
Local phone or cell phone
number
ID #
Local mailing address
Permanent mailing address
Current major
Current adviser
Cumulative GPA to date
Expected graduation date
Credit hours completed to date
II. PLAN INFORMATION
Title of proposed Integrative Studies degree
Type of degree
B.A.
B.S.
Number of credits required in this Plan
(including courses already taken):
Note: the List of Courses in the
Plan should be submitted along
with this application
Name of Integrative Studies faculty mentor
E-mail of faculty mentor
Department of Integrative Studies faculty mentor
Phone # of faculty mentor
Note: the Faculty mentor's letter of support should be submitted along
with this application
Summary Description of the Plan
(a 1-2 sentence description of the Plan's focus in simple, jargon-free language):
form rev Apr2016
III. PLAN DESIGN
Please answer the following questions in the space provided.
Note: the boxes will expand as you type
1. Justification for Creating a Plan
Provide an explanation for creating an individualized major (i.e., an Integrative Studies major).
•Include a brief statement of personal interest in the topic (was there a class, or a personal or professional
experience which developed your interest?).
•Include a statement about why this program of study should be pursued as an Integrative Studies major, as
opposed to one of the existing Ithaca College majors, or combination of major(s) and minor(s).
•If a similar program of study exists at another institution, describe how your Plan mirrors the requirements
of that program.
Answer: Justification for Creating a Plan
2. Integration and Goals of the Plan
Provide a clear description of the proposed Plan, including the academic areas in the Plan.
•Include a brief discussion of how you will integrate these different areas in the focus of your Plan. Address
such questions as: What does each area provide? In what ways are the areas complementary?
•Discuss what your academic goals are for the Plan. That is, how will you know that you have been successful
in the completion of your Plan? What you will be able to know and do as a result of completing this major?
Answer: Integration and Goals of the Plan
3. Courses in the Plan and the Senior Project
Briefly describe how the courses you will take in each academic area of your Plan will contribute towards the
academic goals of the Plan. You needn’t explain what every class will contribute; you can speak more
generally about the distinct areas of your proposed major and the relevance of the range or types of courses
you have identified.
•Include a discussion of the Senior Project you intend to undertake, and how the courses you have
selected/identified will insure that you are prepared to pursue the project (e.g., if you are planning a research
project, what research methods courses will you take? if you are planning an internship, what professional
development courses will you explore?)
Answer: Courses in the Plan and the Senior Project
4. Post-graduation Goals
Describe where you hope your study in your combined areas of interest will lead. How will this major prepare
you to contribute to work being done in the field which you intend to pursue? (How) will your study prepare
you for a career, or graduate study, or other professional opportunity?
Answer: Post-graduation Goals
IV. Submission Instructions and Information
1. Type your name and date the application in the boxes provided. By typing your name here, you indicate your
understanding that Integrative Studies students are enrolled in the School of Humanities and Sciences and
therefore must complete all H&S school requirements in addition to the Plan’s major requirements in order to
graduate.
Applicant Name
DATE
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2. Save a copy of this Application Form with the following file name: <Student Last Name>_INST
Application_<SemYear>
3. Supplementary materials: the items below must be submitted electronically along with the Integrative
Studies Application to the Integrative Studies Coordinator in order for your application to be complete
•Course List (please name this file <Student Last Name>_INST Course List_<SemYear>
•Faculty mentor letter of support (please name this file <Student Last Name>_INST Mentor Letter_<SemYear>
Note: you will submit three documents, sample file names below:
Jones_INST Application_Fall2014
Jones_INST Course List_Fall 2014
Jones_INST Mentor Letter_Fall 2014
4. Once you have received official confirmation from the Program Coordinator that your Plan has been reviewed
and approved by the Integrative Studies Advisory Board and H&S Associate Dean, you must submit your
change of major form through the online workflow process.
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