Name:
ID:
Email:
Major:
Semester in which you plan to register for independent study:
Number of credits desired: One Two Three
Grading system desired:	Letter grade CR/NC
Project supervisor:
Supervisor's email:
Please describe the nature of the work you plan to do as independent study:
This form must be submitted no later than the twelfth week of the semester preceding the one in which you wish to receive credit.

If you are experiencing difficulty with the submission of this form, follow the alternate options below:
1) Try a different browser; 2) Instead of clicking the submit button, highlight and copy the completed form, then paste in an email after clicking here and send; or, 3) Click here to open a PDF version of this form or click here to open a WORD version of this form and follow the instructions at the bottom of the page.