Independent Study Application Form - Department Of Art & Art History printable pdf download

Independent Study Application Form - Department Of Art & Art History

INDEPENDENT STUDY FORM

Department of Art & Art History

Name:_____________________________________

Phone #: (_____) _______-___________

Address:___________________________________________________________________________________________

Semester Year: _______________________

Departmental GPA:______________

Semester Standing: ___________________

Concentration:________________________________________

Peoplesoft ID #: _________________

*The Department of Art policy limits enrollment in 3999 Independent Study course to students with departmental GPA of

3.0 or above. A student’s art program may contain a total of only 6 units of Art 3999 in art studio and/or art history.

Including this course, total Art 3999 credits enrolled for this semester:_________________________________________

Including this course, total Art 3999 credits for all semesters:_________________________________________________

Independent study course title:________________________________________________________________________

# of credits:____________

Instructor:_________________________________________________________

Topic of Study:

Planned resources and references:

Methods and goals:

Form of presentation:

Schedule of Meetings:

⃝ Weekly

⃝ Bi-Weekly

⃝ Other

⃝ Instructor’s Copy

⃝ Student’s File Copy

Independent Study Application Form - Department Of Art & Art History