Department of African American Studies
State Univesity of New York at Buffalo

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).


END OF DOCUMENT                                                                                                            Form prepared by Y. G-M. Lulat/ Fall 2000