ࡱ> 9;8 bjbj ;"E||JJJ^^^^,^Q': # # #&&&&&&&$(=+&J$ #$$& ',&,&,&$.RJ&,&$&,&,&(",&PvpW$,&&!'0Q',&+|%+,&+J,& #Ze#@,&#4# # # #&&& # # #Q'$$$$+ # # # # # # # # #| : INDEPENDENT STUDY COURSE REGISTRATION FORM Includes Projects, Practica, Thesis, Dissertations, and Internships This form must be used to register for an Independent Study type course. Independent Study courses are identified in the Schedule of Classes booklet and generally bear course numbers in the 90s; e.g., 395.497,599, etc. It is the students responsibility to secure all information and signatures required. IF ANY PORTION OF THIS FORM IS LEFT UNFILLED IT WILL BE RETURNED TO YOU AND YOU WILL NOT BE REGISTERED IN THE SYSTEM FOR THIS COURSE. You are liable for tuition charges and you must add, change, or drop this course within the legal dates as stated in the Schedule of Classes. If you are taking two or more of the same courses (e.g., two CS 597s). please note this in the appropriate space on this form. Return the completed form to the appropriate departmental office in Harpur College or the Dean or Advising office in the Professional School   MAJOR _________________________________ E-mail Address: _______________________________________________________ Course name & number: CHEM _________ Credit Hours _____ Grade option: __ Normal ___ P/F or S/U CRN # _____________ Action to be taken: ___ Add ___ Change __ Drop Semester: ____ Fall ____ Spring ____ Summer yr. yr. yr. ___ 2nd Independent Study with same course name, number and instructor TITLE OF INDEPENDENT STUDY or Applicable Internship Only Limit of 30 characters; please be descriptive and abbreviate as necessary. The title you assign will appear on your official University transcript.   INSTRUCTOR APPROVAL Instructor (please print) ____________________________________________ Instructor Section Code ____ ____ Signature of Instructor_____________________________________________ Date ________________________________ Department Approval (if required)____________________________________ Date_________________________________ DATE POSTED ___________________________ BY __________________________________( last name) B# __ __ __ __ __ __ __ __ __ Student Name _____________________________________ Date: ________________ Address (local) ___________________________________________________________ ___________________________________________________________ Phone: _____________________________ *+op   5 6 ͻzlaS?5hhOJQJ^J&jhhOJQJU^JmHnHuhLhL6OJQJ^JhL6OJQJ^JjhhUmHnHuhLh05OJQJ^J#hLh06CJOJQJ^JaJ#h5ehWt6CJOJQJ^JaJh_"6CJOJQJ^JaJ#h5eh06CJOJQJ^JaJ h5eh0CJOJQJ^JaJ h0hCJOJQJ^JaJ h0h0CJOJQJ^JaJ+op6 G e t  p $a$gdAUgdAU &dPgd5mV &dPgdLgdLgd0$a$gd0$a$gdL F G a c d e s t     & B D M Q R 춥Λ}s}fΑWMfΑfΑhLi>OJQJ^JhLi>hLi>CJOJQJ^JhJhAUOJQJ^JhOJQJ^Jhc~OJQJ^Jh;8OJQJ^JhO OJQJ^Jh3~OJQJ^J hJhAUCJOJQJ^JaJh5mVCJOJQJ^JaJh5mVOJQJ^JhAUOJQJ^JhhVOJQJ^JhLOJQJ^Jh_OJQJ^JhJOJQJ^JR [ \ g h p ?ۿ۱۠ێqYq.jhAUCJOJQJU^JaJmHnHuhAUCJOJQJ^JaJhAU>*CJOJQJ^JaJ#h}hAUCJH*OJQJ^JaJ h}hhVCJOJQJ^JaJh=>CJOJQJ^JaJh5mVCJOJQJ^JaJhO CJOJQJ^JaJ h}hAUCJOJQJ^JaJhO OJQJ^JhAUOJQJ^J>?rsMNOgd*{ gd5e &dPgd@gd@$$dNa$gd& $a$gd@gdAU$a$gdAUMNOyzùïÞxtjcjcjcjcjcjcjcjcj_hc~ h_5CJh_h_5CJh_ h*{h_hLCJOJQJ^JaJ h;8h5eCJOJQJ^JaJ h;8h@CJOJQJ^JaJhsSOJQJ^JhAUOJQJ^Jh@OJQJ^Jh& OJQJ^J hAUhAUCJOJQJ^JaJ.jh]CJOJQJU^JaJmHnHu#.z gd5egdV h;8h@CJOJQJ^JaJh_"hc~hc~CJOJQJaJhhVhc~CJOJQJaJ91h0/R :p_= /!"h#$% ^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! 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