Jacksonville University
Proposal for Independent Study Form

Student Name (Last Name First): ________________________________

Semester/Year: ____________________ Major: ____________________

Student ID: ___________________ Semester hrs.: _________________

Course # (Dept. Designator and 387, 388, 487, or 488): ___________________

Course Title: ____________________________________

Eligibility:
Any junior, senior or graduate student who is in good academic standing.

Restrictions:
1. The Independent Study shall not duplicate any course listed in the JU catalogue.
2. Independent Study may not be taken on a pass/fail basis.
3. Student may enroll for a maximum of 6 credits in an Independent Study and honors project per term.
4. The approved proposal must be submitted to the Registrar's office at the time of registration.

ATTACH A ONE (1) PAGE OUTLINE OF COURSE DESIGN OR CONTENT WITH RATIONALE.

Signatures Required:

Signature of Supervising Instructor: _____________________________ Date: ____________

Signature of Advisor: _______________________________________ Date: ____________

Signature of Division Chairperson: _____________________________ Date: _____________

Signature of College Dean: ___________________________________ Date: _____________