Henry W. Bloch School of Management

Student Name*

Student Number*

Email Address*

City

State

Zip

Phone

Degree Program*

Name of Faculty Sponsor

Emphasis Area (if Applicable)

Academic Semester/Year*

Will this Independent Study:

Replace a course in your emphasis area? Count as an elective?

Course Number*

Credit Hours*

Prepare thorough answers to the seven questions that follow, after meeting with your professor. These answers, when summed, would typically be specified in a word-processed document of approximately two-to-three pages.

The sophistication, rigor, quality of work, quantity of work, and time commitment of the independent study must approximate those found in a course that has regular, on-going meeting times. A standard three-credit class has 37.5 contact hours, meaning that the student's total hours devoted to the independent study must be significantly in excess of this figure when outside study/class preparation time and normal assignments are considered.

This contract will take the place of the syllabus for this course.

The reason why you want to pursue an independent study rather than enroll in a regularly scheduled course*

A description of the independent study*

Your learning goals (include your present level of expertise in the study area)*

The study’s learning activities (such as readings, literature search, site visit, interview, field study)*

The assignments, deliverables (e.g., paper, presentation), related due dates, and how the grade will be determined*

The expected frequency of meetings between the faculty member and the student*

Any unusual conditions related to the arrangement*