INDIVIDUAL STUDY FORM

Complete the information below, obtain the required signatures, and submit to your school during a registration period.

Please type or print.

STUDENT ________________________________ I.D. NO. _______ SCHOOL ____________

SEMESTER ____________ 20 _____ COURSE _____________ SEC. _______ CREDITS ____

FACULTY DIRECTOR/CHAIRMAN _______________________________________________
(Person responsible for assigning grade)

Consult your advisor or dean's office for specific policies and procedures for these courses in each school.

                            INDIVIDUAL STUDY INFORMATION

Complete the applicable information below:
[ ] PRACTICUM (580)   or   [ ] INDEPENDENT STUDY (590)
    Student must have completed 12 credits with a GPA of 3.00 or higher (2.00 for J.D. and M.Div.)
    List specific goals to be achieved:

[ ] INTERNSHIP (595)   or   [ ] LEGAL EXTERNSHIP (LAW 756)
    Student must have completed one-third of total credits required for the degree.
    Indicate location and nature of internship:

[ ] THESIS (599)  or  [ ] PROFESSIONAL PORTFOLIO/PROJECT (598)
     Title:

[ ] TUTORIAL
     Explain why course listed above cannot be taken during term in which it is regularly offered:

[ ]  OTHER (Comprehensive Exam, Field Study, Mentorship (MGMT 597, etc.)

____________________________________________________________________________________
APPROVALS:

FACULTY DIRECTOR/CHAIRMAN: ___________________________________ DATE: ____________

DEAN OF SCHOOL: ____________________________________________ DATE: _______________
(As required by school)