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MICHIGAN STATE UNIVERSITY APPLICATION FOR INDEPENDENT STUDY NAME: DATE: Last First Middle Initial PID: LEVEL: CLASS: MAJOR: CUMULATIVE GPA: COURSE: SECTION: CREDITS: SEMESTER: Number of Independent Study Total of prior credits to be earned this semester: Independent Study credits: 1. DESCRIPTION (Subject matter, purpose, methods) 2. RATIONALE (Why independent study rather than regular course?) 3. PREPARATION (Relevant course work, reading, work experience, etc.) 4. WORK TO BE COMPLETED (a) Type and amount of reading, writing, lab work, etc. (b) Estimated contact hours per (c) Deadline for submitting work week with instructor: for final evaluation: (d) Evaluation procedure: STUDENT’S SIGNATURE PHONE APPROVALS Instructor Signature Date Academic Advisor Date Chairperson, Department Offering Course Date Version – 10/14/15A/Pol: Approved 6/8/78 A/C: Approved 1/9/79 (Revised by UCAP 2/7/91) MICHIGAN STATE UNIVERSITY GUIDELINES AND APPLICATION FOR INDEPENDENT STUDY DEFINITION At Michigan State University, Independent Study is planned study, highly individualized, not addressable through any other course format, proposed in writing by the student on a standard form, accepted for supervision by a faculty member, and approved by the student’s academic advisor and the teaching unit at the beginning of the semester. GUIDELINES Independent Study should: 1. Consist of work not described in the University catalog in any other format; 2. Be taken under a course number commensurate with the student’s class level, major field, and experience; 3. Relate to a subject for which the student has adequate preparation; 4. Be directed by a faculty member with whom there is a periodic contact and consultation throughout the study; 5. Not exceed eight semester hours of credit in a single semester; 6. Not exceed 10% of the credits earned in a bachelor’s program; 7. Be applied for on the form provided by the university, or any equivalent departmental or college form; 8. Be approved on this form before the student enrolls for the course. APPLICATION AND ENROLLMENT Please complete the form and obtain indicated approvals and necessary overrides before enrollment for the

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