The University of Texas at Dallas
School of Arts and Humanities

Application and Registration for
Independent Study
This application should be submitted to the office of the Associate Dean for Undergraduate Studies upon registration.
   
Name _______________________________________________ SS#________________________________
Major _______________________________________________ Catalog _____________________________
U.T. Dallas Hours Passed ______________________________ Current GPA _________________________
Semester of Proposed Independent Study ______________________________________________________________
Course Number (AP 4V71, HST 4V93, or LIT 4V49) ______________________________________________________
CRN _______________________________________________ Section Number ______________________
Describe briefly the topic and scope of the proposed independent study. Include examples of readings, exercises, and other relevant information _______________________________________________________________________

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Final product of the independent study (e.g. research paper, creative project, annotated bibliography) ___________________________________________________________________________________________

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Courses taken at U.T. Dallas that are relevant to this project  
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Student's Signature		 _________________________________________
Date
   
I agree to supervise this independent study.  
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Faculty Supervisor's Signature		 _________________________________________
Date
6 August 1998