Independent Study Application
* Denotes Required Field.
Please complete this form as thoroughly as possible. If you have any questions as you complete the form, please don't hesitate to contact Christie Hand (firstname.lastname@example.org). We may ask you to revise this application before it is accepted. This is normal. It will need to be approved by the Chief Academic Officer and the Supervising Professor before you begin.
Date of Submission
Independent Study Supervising Professor
I plan to complete my Independent Study in the following semester:
Anticipated number of credits
Description of project.
What is is the focus of your Independent Study?
Approximately how many hours a week do you intend to spend on the Independent Study?
What is the method of learning (i.e. online course, workshop, self study)?
How will you document the learning (i.e. Portfolio)?
How will your learning be assessed (i.e. submitted artifacts)?
What is the relevance to your community?
How is this aligned to our Program Learning Outcomes? (Choose a few out of the ten listed in our Academic Catalog - https://www.future.edu/for-students/)
Does this align with the Sustainable Development Goals? If so, how? (See https://sustainabledevelopment.un.org/)
Requested name for transcript (i.e. SSC 698 Independent Study: Advanced Mapping)
Independent Study 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.