Form

Application for Directed Study or Independent Research
Directions:
1. Complete the following information and click " Submit " at the end of the application.
2. Print and sign the application that appears on your screen. (A copy will also be sent to your e-mail if you need to print it later.)
3. Obtain the signature of the faculty member who will be supervising and grading your Directed Study or Independent Research.
4. Obtain the signature of the appropriate Department Chairperson.
5. Return the signed application to the Registrar's Office (Duffy 112) by the last day of Add/Drop to have it added to your schedule.
6. A $50 late registration fee may be imposed for submitting this form after the Add/Drop deadline.
Personal Information
Student Name*
First Name Middle Name Last Name
Student I.D.*
Cell Phone Number*
- Area Code Phone Number
E-mail*
Class Year*
Major 1*
Major 2 (If applicable)
Minor (If applicable)
Course Information
Semester*

Fall Spring Summer
Year*
Subject of Directed Study or Independent Research*
Type of Study*

Directed Study Independent Research
Give the Directed Study a title that will appear on your transcript (limited to 20 characters max)
Note: If you do not list a title it will simply read as "Directed Study" or Independent Study" on your transcript.
Number of Credits*
Faculty member supervising the Directed Study or Independent Research*
First Name Last Name
Description of the proposed Directed Study or Independent Research.*
Note: This description will be kept on file in the event that you need to send it out with your transcript in the future.
Describe the learning outcomes or goals of the Directed Study or Independent Research.*
List any required assignments or readings.*
Are you applying for another directed study or research project for the same semester?*

yes no
Note: taking more than one directed study or independent research project in one semester requires the approval of Academic Services and Advising, Duffy 104.
Should be Empty:

Application for Directed Study or Independent Research

Personal Information

Course Information