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:*
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}

Date

MonthDayYear
Date
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}

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}

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}

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}
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