Directed Reading / Independent Study Contract

Directed Reading / Independent Study Contract
Use this form to add a directed reading & research or independent study to your schedule.
- Directed Reading & Research: Topic not covered in established course
- Independent Study: Standard course not offered on term schedule
One course per form. Course add will be processed upon receipt of department chair's approval. CAO approval required for exceptions to policy.

The number of DRRs and Independent Studies that can be completed in a single term and applied to graduation are limited by department. Consult with instructor and chair prior to submitting this form.

If you later wish choose to DROP this class, use an Add/Drop form to do so.

Questions: Registrar@uwest.edu or contact your advisor.
Date Submitted*

MonthDayYear
Date
Term*
Student Name*

First NameFamily / Last Name
SID #*
UWest Email
example@my.uwest.edu
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Level of Study*

UndergraduateGraduate
Undergraduate Program*
Graduate Program*
Request*

Independent Study (standard course being studied independently)Directed Reading & Research (topic not offered in any standard course)
MBA599 Independent Study - TOPIC*
Topic is included on transcript
DR&R_Course*

CONT599REL599
DR&R Course*

CONT599MDIV599REL599
DR&R TOPIC*
Topic is included on transcript
PSYCH650 Directed Reading - TOPIC*
Topic is included on transcript
INDEPENDENT STUDY COURSE *
Enter course code and title
UNITS (generally 3 units)*
INSTRUCTOR*
Enter name of supervising instructor
REASON FOR REQUEST - Select all that apply*

I am in my last semesterI need this course to graduateCourse is not offered on schedule of classesOther
Other Reason, please be specific*
By signing, I verify that I am the student of record. Submission of this form indicates that I understand that I am responsible for tuition and fees associated with this course, that it is my responsibility to contact my instructor to coordinate completion of this independent/directed study course, and that enrollment in this course is subject to the standard add/drop deadlines applicable to the term. If dropped, any refund will be issued in accordance with the published refund policy.
Signature

Clear
APPROVAL

COMMENTS

INSTRUCTOR DATE

CHAIR DATE

Chair: Please confirm the following

>>> CONFIRM COURSE INFORMATION

COURSE CODE

TOPIC (if applicable)

INSTRUCTOR

>>>IS MOODLE ACCESS REQUIRED: Yes or No __________

if this is left blank, no moodle access will be arranged

If student needs access to a course different from

course on their schedule, enter course code here: ____________

CAO (if needed) DATE

PROCESSING

PROCESSED BY DATE

COMMENTS
Should be Empty: