Independent Study Approval Form (Graduate Level)
Student Name: ______________________________________________
Person
No. _____________________________
Degree: _____________ Course No. ___________________ Semester:
___________________
Year:
______________
Name of Supervising Instructor: _______________________________________________________________________
Tentative Title of Topic of Research Paper (or Project): ___________________________________________________
__________________________________________________________________________________________________
Description of Topic of Research Paper or Project
Attach to this form a brief but CLEAR description of topic of research
paper or project (No more TWO double spaced pages in 10pt Times Roman)
Bibliography
Attach a bibliography for the topic to this form (it must be
in APA style).
If research paper, projected number of pages: ___________________________________________________________
(Must be about 40 double-spaced pages (excluding references) in 10pt
Times Roman.)
If research paper, student agrees to follow the guidelines for writing research papers available on the same page as this form at the departmental web site.
Yes: _____ No: _______(If NO explain why) ______________________________________________________________
__________________________________________________________________________________________________
If project, indicate tangible outcome (e.g. report): _________________________________________________________
Number of contact hours with supervising faculty per week (must
not
be less than 1 ): _______________________________
Total number of contact hours for the semester: __________________________________________________________
Signature of Student (indicating acceptance of
terms) ____________________________________ Date: ________________
Signature of Supervising Instructor (indicating
acceptance of terms) __________________________ Date: ______________
Name and Signature of Graduate Studies Director (indicating approval)
____________________________________________________________________________ Date: ________________
NOTE: Five copies of this form must be prepared and and a copy each be distributed among the following: signatories, departmental secretary, and degree coordinator (e.g for the MAH program).