Independent Study/Research

Independent Study/Research
- Permission of your academic advisor(s) and a faculty sponsor are required. All independent study/research must be completed during the term in which the course is registered. No retroactive credit will be granted.
- Independent study/research experiences may be registered until the add/drop period concludes, typically the eighth class day of the term. Consult the academic calendar for an exact date.
- Each independent study/research project will be defined by the student and guided by a faculty sponsor. The outcomes of the project may be written or presented at the discretion of the faculty sponsor.
- It is expected that 9-12 hours of study per week, or 126-168 total hours, are required for each course unit earned.
- No more than four (4) course units of individualized instruction (internship, practicum, independent study/research, or special arrangement) may contribute to the 32 units required for graduation (34 units if you matriculated before Fall 2017), except as required by special programs, such as the Dana Associates program
- Independent study/research may not be used to satisfy a general academic requirement.
- All independent study/research will be assigned traditional letter grades, A through F.
- You may enroll for two (2) independent study/research experiences during the same term, but only one (1) independent study or research experience may be enrolled concurrently with an internship or practicum in any term.
Name*

First NameLast Name
Berg ID*
Class Year*
Email (Please use your muhlenberg.edu address)*
example@muhlenberg.edu
Academic Advisor Email*
example@muhlenberg.edu
Academic Advisor Email
example@muhlenberg.edu
Term*
Course Units*

1 unit0.5 unit
Department
Enter the academic department in which you will be completing your independent study/research (3 digit prefix under which your research should be registered)
Academic Department*
Experience*
If you are completing an Independent Study for the Dana Scholars program, please select DNA 975
Title (Limit 24 characters, including spaces)*
Name of Faculty Sponsor*
Faculty Sponsor Email*
example@muhlenberg.edu
Describe the academic project which the faculty sponsor will evaluate:*
Are you seeking the Integrative and Experiential Learning (IEL) designation for this Experience?*

YesNo
Please complete the section below before clicking submit.

IEL Designation Review

Integrative and experiential learning opportunities offer different ways for students to develop and put into practice key skills that will enable them to succeed in their professional careers; to hone the skills and foster values essential to civic engagement; or to contribute to thinking about and seeking solutions for some of the world's complex problems. Both integrative and experiential learning opportunities allow students to engage in learning that extends beyond the classroom. Students complete one Integrative and Experiential Learning requirement.

A) Make connections through synthesis or application, and reflection across academic boundaries in at least two areas of knowledge or modes of inquiry,including the following:
- Understand relationships among various ways of knowing, and recognize the strengths and limitations of different approaches for comprehending phenomena.
- Use diverse perspectives and their vocabularies to intentionally recognize and solve problems, address existing questions, and ask new questions.
- Adapt and apply various perspectives developed in other contexts to new situations, while realizing the strengths and limitations of these different approaches.
AND/OR

B) Make connections through synthesis or application, and reflection across program(s) of study and experiences outside of the typical classroom experience, including the following:
- Apply academic knowledge and skills to address problems, questions, or challenges in professional or community contexts.
- Evaluate the relationships between theory and application, recognizing both connections and limitations.
- Reflect critically on how experience(s) outside of the typical classroom experience contribute to learning and personal development.
Describe how this experience will satisfy the IEL:
Signature (The signature of the student on this form indicates knowledge and acceptance of any tuition or fee charges associated with this registration. )*

Clear
Date*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Registrar Email
T&D Email

The following student has submitted a request to register Independent Study/Research and they have listed you as their Faculty Sponsor

Name:	{name}
Berg ID:	{bergId}
Class Year:	{classYear}
Term:	{term}
Units:	{courseUnits}
Department:	{academicDepartment}
Experience:	{experience}
Title:	{titlelimit}
Project Description:	{describeThe9}
IEL Student Response	{areYou}
IEL Description	{describeHow}

Date

MonthDayYear
Date
Faculty Sponsor IEL Response

ApproveDeny
Faculty Sponsor Response:

ApproveDeny
Signature

Clear
Comments

Your advisee listed below has submitted a request to register the following Independent Study/Research:

Name:	{name}
Berg ID:	{bergId}
Class Year:	{classYear}
Term:	{term}
Units:	{courseUnits}
Department:	{academicDepartment}
Experience:	{experience}
Title:	{titlelimit}
Faculty Sponsor:	{nameOf}
Project Description:	{describeThe9}
IEL Student Response	{areYou}
IEL Description	{describeHow}
IEL Faculty Response	{facultySponsor110}

Date

MonthDayYear
Date
Advisor 1 Response:

ApproveDeny
Signature

Clear
Comments

Your advisee listed below has submitted a request to register the following Independent Study/Research:

Name:	{name}
Berg ID:	{bergId}
Class Year:	{classYear}
Term:	{term}
Units:	{courseUnits}
Department:	{academicDepartment}
Experience:	{experience}
Title:	{titlelimit}
Faculty Sponsor:	{nameOf}
Project Description:	{describeThe9}
IEL Student Response	{areYou}
IEL Description	{describeHow}
IEL Faculty Response	{facultySponsor110}

Date

MonthDayYear
Date
Advisor 2 Response:

ApproveDeny
Signature

Clear
Comments

For Registrar's Office Use only

Name:	{name}
Berg ID:	{bergId}
Class Year:	{classYear}
Term:	{term}
Units:	{courseUnits}
Department:	{academicDepartment}
Experience:	{experience}
Title:	{titlelimit}
Faculty Sponsor:	{nameOf}
Project Description:	{describeThe9}
Faculty Sponsor Approval:	{facultySponsor69}
Advisor 1 Approval:	{advisor1}
Advisor 2 Approval:	{advisor2}
IEL Student Response	{areYou}
IEL Description	{describeHow}
IEL Faculty Response	{facultySponsor110}

Date

MonthDayYear
Date
Staff Member Processing Registration

First NameLast Name
Check when registration is processed

Theatre,

The student listed below has submitted a request to register the following Independent Study/Research:

Name:	{name}
Berg ID:	{bergId}
Class Year:	{classYear}
Term:	{term}
Units:	{courseUnits}
Department:	{academicDepartment}
Experience:	{experience}
Title:	{titlelimit}
Faculty Sponsor:	{nameOf}
Project Description:	{describeThe9}
Academic Advisor #1 Email:	{academicAdvisor20}
Academic Advisor #2 Email:	{academicAdvisor63}
Faculty Sponsor Approval:	{facultySponsor69}
IEL Student Response	{areYou}
IEL Description	{describeHow}
IEL Faculty Response	{facultySponsor110}
Advisor 1 Approval:	{advisor1}
Advisor 2 Approval:	{advisor2}

Date

MonthDayYear
Date
Theatre Response:

ApproveDeny
Signature

Clear
Comments
Should be Empty:

Independent Study/Research

For Registrar's Office Use only