Independent Study Submission Form

Independent Study Submission Form

Students must complete the first two sections of this form (checklist and cover sheet) and submit to your faculty mentor along with a PDF of the Independent Study.
Checklist of Requirements for Independent Studies
Detailed information on these items is in "A Guide to the Integrative Master's Project" available on the IMP webpage: https://graduate.bankstreet.edu/academics/integrative-masters-project-imp/
Content, scholarship, and organization*

Study meets criteria for successful completion for the Independent Study as outlined in A Guide to the Integrative Master's Project.
Style and form*

Include a one-page abstract with the student's name and title of study inserted immediately after the title page.Starting with the title page, all pages are numbered consecutively, including the pages of any appendices.The table of contents includes page numbers.All margins are 1 inch wide.All citations in the text and list of references are in APA style.
The following materials should be included in a "Permissions" section of the appendix of the study:
- If any copyrighted material is used, a copy of document(s) granting permission is included.
- If names of individuals or organizations are not masked, signed document(s) granting permission to use the names is included.
- If the study includes recognizable photographs of individuals, a sample consent form is included. The student must retain all signed copies.
- If the study involves research involving human participants, a copy of the letter from the IRRB granting permission to commence the research is included.
- Copies of consent letters and forms used for participation in a research study are included.
Permissions*

I have fulfilled all of the requirements applicable to my study as listed above.
Student Name*

First NameLast Name
Student Email*
example@bankstreet.edu
Student ID Number*
Faculty Mentor Name*

First NameLast Name
Faculty Mentor Email*
example@bankstreet.edu
Date*

MonthDayYear
Date

Independent Study Cover Sheet
Student Name*

First NameLast Name
Program*
Title of the Independent Study*
You have the option to share your independent study in Educate, Bank Street's open access digital repository.
Would you like to share your independent study in Educate?*

Yes, I would like to share my independent study in Educate.No, I would prefer not to share my independent study in Educate.
I, First Name* Last Name*, the student, hold the copyright to this document and grant Bank Street College the non-exclusive right to make available my submission in its entirety in print and electronic format and in any medium, including but not limited to audio or video.
Upload a PDF of your Independent Study:*

Cancelof
Faculty Approval Sheet

for all Independent Studies submitted to the Library
Faculty Mentor Name*

First NameLast Name
Faculty Mentor Phone
Please enter a valid phone number.
Bank Street Library Sharing*

I understand that the student would like to share this Independent Study in Educate and agree that this study can be shared.
Please note that the student would prefer not to share this Independent Study in Bank Street's Library Repository.
I,First Name* Last Name*, the Bank Street faculty mentor, have read the accompanying Independent Study and have verified that it meets all applicable items on the Checklist of Requirements.
Should be Empty:

Independent Study Submission Form

Checklist of Requirements for Independent Studies

Independent Study Cover Sheet

Faculty Approval Sheet