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Application for Directed Study, Tutorial, or Independent Study

Section A: Student Information

To be completed by the student.

Student Name*
Classification During Study *

Section B: Course Information

To be completed by the student.

Type of Individualized Study*
Semester*
(__490 for Independent Study)
(No more than 32 characters))
Credit Hours*
(Explanation of Why Course Cannot be Taken at Regular Time)
Supervising HU Professor*
Is your advisor your supervising HU professor?*
Advisor*
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Date

Section C: Academic Evaluation & Supervising Professor's Approval

To be completed by the supervising HU professor in consultation with the student.

DIRECTED STUDY/TUTORIAL: Course Requirements (check all that apply)*
INDEPENDENT STUDY: Course Requirements (check all that apply)*
INDEPENDENT STUDY: Projected Student-Initiated Conferences to be*
(If % Grade for Other is chosen, please give detail on what the student will be graded for.)
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Date

Section D: Advisor Approval

Would you like to add any comments?*
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Date

Section E: Dean Approval

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Date
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