Independent Study Application
* Denotes Required Field.
Date of Submission
I plan to complete my Independent Study in the following semester:
Anticipated number of credits
Description of project. Please include the following: Format of Independent Study (i.e. participation in MOOC, workshops, etc.), means of assessment (i.e. artifacts submitted), relevance to community, time commitment, and learning outcomes addressed. Extra documentation may be required.
Requested name for transcript - SSC 698 Independent Study
Chief Academic Officer Signature (Obtained by Registrar)
Specialization Director Signature (Obtained by Registrar)
Independent Study Approval
Terms of Approval
Provide your email address to receive acknowledgement email along with the copy of this filled form.
I agree that by Checking this box and submitting this form that all information is accurate to the best of my knowledge.