Undergraduate Independent Study Request
Faculty will use this form to request an Independent Study for a specific student. After the form is submitted, it will be routed to the Registrar’s Office who will then forward to the department chair and dean for approvals.
Date
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Month
-
Day
Year
Date
Form Type
Last Name
*
First Name
*
Student ID
*
Class
*
Course Number (e.g. ENG-130)
*
Course Title
*
Instructor Name
*
Credits
*
Semester
*
Please Select
Summer I 2025
Summer II 2025
Fall 2025
Spring 2026
Course Description
Advisor Name
*
Department Chair
*
Please Select
Accounting (Smriti Rao)
Art, Music and Theatre (Toby Norris)
Biological and Physical Sciences (Elizabeth Colby-Davie)
Education (Samantha Goldman)
Economics (Smriti Rao)
English (Becky Dibiasio)
Finance (Smriti Rao)
Health and Services (Maria Parmley)
History (Carl Keyes)
International Business (Colleen Fahy)
Management (Colleen Fahy)
Marketing (Bridget Leonard)
Mathematics & Computer Science (Brooke Andersen)
Modern & Classical Languages & Cultures (Richard Bonanno)
Organizational Comm (Bridget Leonard)
Philosophy (Patrick Corrigan)
Political Science (Geoffrey Vaughan)
Pre-Clinical Health Science (Brian Niece)
Psychology (Leamarie Gordon)
Sociology & Criminology (Angela Kaufman-Parks)
Theology (Ty Monroe)
Nursing (Jennifer Morton)
Dean
*
Please Select
Rachel Coleman (Director of Honors)
Dean Cullen Grenon School of Business
Dean Trepanier D’Amour College of Liberal Arts and Sciences
Dean Morton Froelich School of Nursing
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*
Submit
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