IR/IS Course Request Form

IR/IS Course Request Form

To request an Individualized Research (IR) or Independent Study (IS) Course.
This form is due no later than 30 days prior to the term in which you want to complete the course.

Please review the IR/IS course policy in the Academic Catalog prior to submitting this form. http://www.theseattleschool.edu/students/catalog
Student Name*

First NameLast Name
Student Email*
example@example.com
Date of Request*

MonthDayYear
Today's Date
Course Information
What type of course are you requesting?*

Individualized Research (a class we do not regularly offer)Independent Study (a class listed in the Academic Catalog)
Instructor Name*

First NameLast Name
Instructor Email*
example@example.com
Course Number and Name*
e.g. CSL 502 History & Systems (Note: All IR classes are numbered 580)
I would like to take the course in the ______ term.*
e.g. Fall 2024
Please attach your proposed syllabus here.*

Please use the following naming convention for your document: First Initial. Last Name - Class Type Syllabus (e.g. K. Wallace - IS Syllabus).
Cancelof
Approval Information
Procedure for Approval:
1. submit this form with the proposed syllabus attached
2. you will be notified via email of the decision of the Registrar & Academic Dean
I have read and understand the approval process.*

Yes
Should this class be approved, I authorize the Academic Office to register me for these credit hours and the Business Office to charge the appropriate tuition to my account.*

I agree
Should be Empty:

IR/IS Course Request Form

Course Information

Approval Information