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Isenberg School of Management Department of Marketing

Independent Study Form

This is NOT a University Registration Form

Instructions:

  1. Complete the information requested below. Type all responses and attach them to this form. The responses are the product of discussions with the instructor who has agreed to supervise the Independent Study effort.
  2. After all signature approvals are obtained, distribute one copy to the supervising instructor, one copy to the Department Head, and retain one copy. Changes in this contract may be renegotiated but final approval must be granted by both the Instructor and Department Head.
  3. Bring the signed copy of this form to the Department Office (SOM 359) for registration (i.e., on-line enrollment cannot be used).
  4. All Independent Study courses for credit must be approved by the Marketing Department Head.
  5. The number of credits that may be earned for an Independent Study is one to six, but usually three. Only in an unusual case should the credit hours granted exceed three.

Please type or print clearly

SUBJECT Marketing CATALOG #___________ CLASS #____________

Name ________________________ Major _______________ Credit Units ________

Spire ID __________________________________

Local Address _____________________________

Local Telephone ___________________________

Sponsoring Instructor ______________________

Semester:

Spring _______

Fall _______

Year ________

Attach on a separate sheet of paper, complete answers to the following
questions:

  1. What is the nature and scope of the independent study?
    Specifically, what topics are to be covered and what resource materials (textbooks, articles, etc.) are required?
  2. How (written exams, term paper, etc.) are you going to be evaluated? Explain fully.

Approved Signatures:

____________________________
Student                         Date

____________________________
Instructor                      Date

____________________________
Dept. Head                    Date