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Get Independent Study Proposal Student Name: Adviser Name: Course Id: Is: (assigned By Registrar)

Rm of study: Fall semester Date IS begins: Grading scale: 500 Course level: - Interterm Letter grade Summer Spring semester Completion date: - - 600 - Pass / Fail grade Date grade is due: (assigned by registrar) Course Objectives: Design of Study: Demonstrated Outcome / Evaluative criteria: Signatures: Student or Student ID Date Adviser: Professor Directing Study: Date Registrar: Academic Dean: Date Date EA: Date Please return to registrar office for distribution di.

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