Independent Study Registration

College of Liberal Arts Independent Study Registration

—This form is to be used for students registering for an independent study in any upcoming semester—

Please complete the form below, filling in all required fields. Once completed, the instructor of the Independent Study will contact the Registrar’s office verifying that you are permitted to register for an Independent Study. Additionally, your Advisor will be notified that you are requesting to register for an Independent Study. The Registrar’s office will then register you for the appropriate section of an Independent Study. Please provide a title or topic of the Independent Study if applicable or available.

– NOTE: Please review your desire to register for an Independent Study with your advisor prior to completing this form. –

Student Name *

I.D. Number *

Intructor's Name *

Instructor's Email *

Please use only "@drew.edu" email accounts. Instructors will not receive emails at non-Drew email addresses.

Department of Independent Study *

Advisor's Name *

Advisor's Email *

Please use only "@drew.edu" email accounts. Instructors will not receive emails at non-Drew email addresses.

Second Advisor's Name (If Applicable)

Second Advisor's Email (If Applicable)

Please use only "@drew.edu" email accounts. Instructors will not receive emails at non-Drew email addresses.

Third Advisor's Name (If Applicable)

Third Advisors Email (If Applicable)

Please use only "@drew.edu" email accounts. Instructors will not receive emails at non-Drew email addresses.

Title/Topic of Independent Study

Please enter the title or topic of the Independent Study. This will be the section title of your course section.

Number of Credits *

Please enter the number of credits that will be associated with the Independent Study.

Term of Independent Study *

Summer 2013

Fall 2013

CC: Office of the Registrar, email of Instructor entered above, email of Advisor entered above.