Independent Study Request Form

Student Name Student Name First Last
Student E Number
Semester/Year of Independent Study
Date Date / MM / DD YYYY
Level of Independent Study

Level of Independent Study MUS 4600 - Undergraduate Independent Study MUS 4601 - Undergraduate Pedagogy Independent Study MUS 4444 - Undergraduate Honors MUS 4644 - Undergraduate Thesis MUS 5990 - Graduate Independent Study
Credit Hours

Credit Hours 1 2 3
Faculty Sponsor Faculty Sponsor First Last
Faculty Sponsor Email Address
Description of Proposed Study

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