ASHLAND UNIVERSITY INDEPENDENT STUDY REQUEST (web
version)
NOTE: This form must be
completed prior to registration for independent study credit.
Students Must Have Junior or Senior
Status
CONSULT THE CURRENT
Student
___________________________ SS No. ____________________
Address _____________________________________________________
Junior Senior Cum
GPA Major GPA (3.000 Minimum GPA Required )
(Program
evaluation-available on WebAdvisor- is to be attached prior to submission to
department)
Special request
to register in Department 498
or REC 496
Semester hours
for Independent Study Course (1-8)
Semester and
Year of Registration for Independent Study:
Attach a
typed, detailed statement for each of the following items.
Student
must answer the following five items to the satisfaction of his/her Advisor,
Department Chair, and Instructor of the course.
1 Title or subject of project:
2 State the purpose or objective of
study.
3 State methods to be employed.
4 Material to be used.
5 Major references.
Student
Signature Date
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I HAVE READ THE
STUDENT’S PROPOSAL AND I:
Instructor
( ) Approved ( ) Denied
Date
Faculty Advisor ( )
Approved ( ) Denied Date
Department Chair
( )
Approved ( ) Denied Date
Dean of the
College ( )
Approved ( ) Denied Date
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ACADEMIC
STANDARDS AND GRADUATION COMMITTEE
( ) Approved ( ) Denied
Date