VIRGINIA TECH COLLEGE OF ENGINEERING
Undergraduate Research, Independent Study Authorization
(2974, 2994, 4974, 4994, 4904 variable credit course)
The Authorization Request must be TYPED and received in the Engineering Academic Dean’s Office, 212
Hancock Hall, by no later than the third day of classes in a semester. NO EXCEPTIONS to this deadline.
This form constitutes an agreement by the student to complete the described work during the listed term and by
the faculty member to provide direction to the student during that term. A grade will be assigned based on the
agreed upon work, test and report requirements. Failure to complete the described work is not basis for an “I”
grade or a time extension. The grade assigned must reflect the student’s performance during the requested
term.
Approval of this request constitutes registration for the course. The Academic Dean’s Office will add the hours
to your class schedule and e-mail you (you do not add the hours). If addition of the course hours puts you over
19 hours total (9 per summer session), you must request a course overload approval from the Academic Dean’s
Office (go to www.eng.vt.edu/overview/acad_affairs_forms_docs.php to download the Overload Request form).
Term __________________
I.
Student Information:
Name ________________________________________________________________
ID # _____________________ Major ____________________ Projected Term of Graduation ___________________________
Local Address ______________________________________________________________ e-mail ________________________
Overall GPA ________ In-Major GPA ________ (For CS majors - GPAs required for Independent Study are at least 2.50
overall and in-major; GPAs required for Undergraduate Research are at least 2.50 overall, 3.00 in-major). (For other
Engineering majors, BOTH GPAs must be at least 2.00. There are NO EXCEPTIONS to the GPA requirements. Your
UG/IS will NOT be approved if you do not meet the GPA requirements.)
Department verification of GPA’s (name/date – see reverse side) ____________________________________________________
II.
Course and Credit Information:
Instructor’s name (typed or neatly printed):_____________________________ Instructor’s PID:_______________________
Dept. _____________ Course # _____________ CRN # _____________ # Credits ____________ A/F or P/F ___________
Total number of credits this semester including this course ___________ (if over 19, must request course overload approval)
Total hours of previously taken Independent Study and/or Undergraduate Research __________
This credit will be used as: Free Elective ____ Tech Elective _____________________ Required Course _________________
(Department: indicate requirement category on dars)
Title of Project ___________________________________________________________________________________________
(Instructor: attach a TYPED description and statement of method of grading).
III.
Signatures of Approval: Obtain signatures in order
_________________________________________ ________
Student
Date
_________________________________________ ________
Student’s Department Head
Date
_________________________________________ ________
Instructor
Date
_________________________________________ ________
Instructor’s Department Head
Date
_________________________________________ ________
Instructor’s typed name and e-mail address
Date
_________________________________________ ________
Academic Dean of Instructor
Date
__________________________________________________
Dept. Advisor (confirm GPAs-see reverse side)
Date
_________________________________________ ________
Academic Dean of Student
Date
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DEPARTMENT ACADEMIC ADVISORS IN THE COLLEGE OF ENGINEERING
(confirm GPA’s and 2974, 2994, 4974, 4994 registration information)
Aerospace/Ocean Engineering
Madhu Kapania, 219C Randolph Hall
Chris Hall, 224D Randolph Hall
Biological Systems Engineering
Mary Leigh Wolfe, 305 Seitz Hall
Chemical Engineering
Jane Price, 133 Randolph Hall
David Cox, 139 Randolph Hall
Preston Durrill, 133 Randolph Hall
Civil Engineering
Kara Lattimer, 200E Patton Hall
Val Dymond, 200 Patton Hall
Bill Cox, 200D Patton Hall
Computer & Electrical Engineering:
Mary Taylor (last names A-J), 340 Whittemore
Paula Van Curen (K-S), 340 Whittemore
Leslie Pendleton (T-Z), 340 Whittemore
Computer Science:
Terry Arthur (last names A-J), 133E McBryde
Libby Bradford (K-Z), 133F McBryde
Engineering Education:
Debbie Atkins, 332 Randolph Hall
Jeri Reinholtz (last names A-K), 317 Randolph
Debbie Pollio (last names L-Z), 317 Randolph
Engineering Science & Mechanics:
Sandie Griffin, 225 Norris Hall
Scott Case, 225 Norris Hall
Industrial & Systems Engineering:
Joyce Vest, 237 Durham Hall
Eileen Van Aken, 250 Durham Hall
Materials Science Engineering:
Jan Doran, Collegiate Square, Suite 302
Steve Kampe, 210 Holden Hall
Mechanical Engineering:
Linda Vick, 118 Randolph Hall
Clint Dancey, 118A Randolph Hall
Mining & Minerals Engineering:
Greg Adel, 140 Holden Hall
3/08