AM 91R PROJECT FORM
INSTRUCTIONS: Fill out the top portion of this form and obtain the signature of the
Course Instructor and the Director for Undergraduate Studies (DUS) or Assistant
Director of Undergraduate Studies (ADUS). File the signed form with the Office of
Student Affairs, Pierce Hall 110, by Study Card Day of the semester you are registering
for. The Course Instructor must also initial the course on the student’s study card.
Please print legibly.
SEMESTER (circle one):
FALL
SPRING
YEAR: 20_________
STUDENT’S NAME: _____________________________________________________
STUDENT’S EMAIL:____________________________________ PHONE:__________
PROJECT ADVISOR’S NAME:_____________________________________________
PROJECT ADVISOR’S EMAIL:___________________________ PHONE:__________
Provide a brief description of the nature of the project for this course.
STUDENT’S SIGNATURE:_________________________
DATE:____________
INSTRUCTOR’S SIGNATURE:_____________________ _
DATE:____________
DUS/ADUS SIGNATURE:__________________________
DATE:____________