Department of Philosophy

Independent Study Agreement

 

Instructions:  Print this form and complete with the course instructor.  Make two copies; give one to the instructor, keep one for your records, and give the original to the department office manager.  After you have turned in the department copy, the office manager will enter permission for you to register.  You must then register for the course using DUCKWEB.

 
Print Name: ______________________________________ ID: _________________________

 

Email: ___________________________________________

Indicate term, year, number of credits, grade option, course, and crn:

Term _______________ 20 ____ Number of Credits _______ Grade Option _________

 

Reading & Conference Title: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
(please note: research & reading titles are limited to a 17 character field which includes spaces & punctuation)

Summary of work (including graded work):

 

 

 

 

 

Meeting Arrangements:

 

 

 

 

Student Signature: ____________________________________________  Date: _____________

 

 

Instructor Name: ___________________________      ____________________________     ____________

                                             Printed                                              Signature                                       Date