INSTITUTE FOR ETHNIC STUDIES
INDEPENDENT STUDY CONTRACT FORM
Independent study courses broaden student options by allowing them to undertake directed readings, engage in experiential learning activities, or earn honors credit. Ethnic Studies and Latin American Studies majors may apply up to 9 hours of individualized course work (no more than 6 hours of one particular course) to their major program of studies; minors may use up to 3 hours. Students will need to submit a substitution form for these hours once the course has been completed. Before signing up for an independent course, check with the Chief Advisor to make sure that it can be substituted toward the degree requirements.
Complete this form in consultation with your supervising professor, then submit it to the Institute for Ethnic Studies (305 Louise Pound Hall) to receive a call number.
Student Name: ID #:
Address: _________________________________________________________
Phone: ________________________________________
Email: _________________________________________
Do you plan to graduate at the end of this semester? Yes____ No____
Course Number: ______________ Session: ___________ Year: _________
Type of Grade (circle): P/NP or Letter Credit Hours: _________
Advising Professor: _____________________________________________
Project/Course Title: _____________________________________________
Requirements (Check all that apply and describe on the reverse side of this form or attach contract syllabus)
_____ Readings _____ Research Project
_____ Journal _____ Meetings with Faculty Sponsor
_____ Paper _____ Other -- describe:
Basis of Grade (Indicate % of grade assigned to each required activity)
Required signatures:
Student: ____________________________________________ Date: _____________
Advising Professor: ___________________________________ Date: _____________