Faculty of Engineering- University Scholars Programme Independent Study Module (ISM) Application Form SEMESTER 1, 2016-2017 Deadline: 15 August 2016 IMPORTANT NOTES (1) This form has to be completed by students applying to read an ISM after a detailed discussion with their supervisors. (2) Students have to attach a write-up of the proposed study, following the format laid out in Appendix A. (3) USP’s curriculum for Cohorts before 2012: Students are required to read a maximum of 4 USP Advanced-Tier modules. These would comprise a combination of Pure ISMs, Ride-on ISMs and CBMs limited to a maximum of 4. (4) USP’s curriculum from Cohort 2012 onwards: Students take at least 1 and up to 3 ISMs in place of the regular inquiry modules. Each ISM will be counted as equivalent to one inquiry module in the appropriate basket. FoE students who are in the USP can only register for pure ISMs and cannot propose an ISM Ride-on. INFORMATION ON THE PROPOSED ISM (4 MCs) A) Type of Proposed ISM: Please tick accordingly (*delete where appropriate) Level 3000* / Level 4000* Pure ISM. One bid point will be deducted upon approval. Level 3000* / Level 4000* Ride-on ISM. Student is required to bid for the regular module and sit for the Exam. (Please note that this option is not available from Cohort 2012 onwards) Level 5000* / Higher Master’s Ride-on ISM. Student is required to register for the module and sit for the exam. (Please note that this option is not available from Cohort 2012 onwards) B) Please indicate the number of ISMs completed (excluding this current application): ___________ FOR STUDENT Name: Year 1 / 2 / 3 / 4 (please circle appropriately) Home Faculty: Student Number: Course: NUS Email Address: Cohort Year (AY in which student is matriculated): Contact Number: FOR SUPERVISOR Name: Department: Contact Number : NUS Email Address: Supervisor’s signature: _________________________ and date: ______________________ Faculty of Engineering- University Scholars Programme Independent Study Module (ISM) Appendix A (A) Information on the Proposed Pure ISM or ISM Ride-on (Please note that the latter option is not available from Cohort 2012 onwards) 1) Name of Student 2) Date of Submission 3) Course 4) Name of Supervisor 5) ISM Module Code / Ride-on ISM Module Code 6) ISM or Ride-on ISM Project Title (limited to 100 characters) 7) Regular Faculty Module Code & Title (applicable only if student is doing a Ride-on ISM Module) 8) Proposed outline of the study report (minimum 400 words) Introduction Method Results Discussion 9) Reading list 10) Schedule/Plan of work 11) Supervisor’s role (minimum 100 words) 12) Contact hours (between supervisor and student) 13) Mode of assessment: Please elaborate in about 100 words how student will be assessed. A suggested guide: Consultation with supervisor Draft Report Detailed Analysis of testing results Final report Others (please state) Total 14) Signature of student & date _______________________________________ : : : : : : _____% _____% _____% _____ % ______% 100 % (B) Portion to be filled by supervisor only if student is doing Pure ISM Supervisor’s Overall Assessment (please use a separate sheet if required) Name of student: ______________________________________ Student No: ______________________________________ ISM Module Code: _______________________________________ Final Marks: _______ Final Grade: _______ Name of supervisor: ______________________________________ Department: ______________________________________ ____________________________ Signature ______________ Date