UNIVERSITY INDEPENDENT STUDY APPLICATION FORM

UNIVERSITY INDEPENDENT STUDY APPLICATION FORM

NOTE: Only matriculated Warner students wishing to register for an independent study in another department outside the Warner School should use this form. Students registering for ED 491 or 591 should use the Warner Independent/Field Study Application Form on Warner's website.

INSTRUCTIONS:

1. A student may register for an Independent Study if:
* student is a matriculated (accepted) student in one of Warner's degree or certification programs
* study will be completed under the supervision of a full-time UR faculty member
* student's academic record is free of incomplete or N grades (all classes must have passing grades)
* student completes and submits this form; the Warner Registrar will then register the student

2. Student should submit form before online registration closes, if at all possible, but not later than the dates below:
* Fall ~ September 15th
* Spring ~ February 1st
* Summer ~ June 1st

3. Student must follow instructions below to avoid delays in processing:
* Complete top portion of form with contact information
* Indicate offering department and select appropriate course number 491 or 591)
* Select semester, year, and enter credit hours
* Enter title; if no unique title is entered, default title will appear (i.e., Independent Study)
* In collaboration with instructor, complete the "Course Description" and "Basis for Evaluation"
* Sign and date the form