Directed Studies Request Form (PS 03.A.17)
SOS 3399/4399

This form must be approved and filed in the office of the appropriate dean prior to registration.

I.    Summary Description (Please Print Names Below)

A.    Academic Division     
B.    Department     
C.    Course Number  
D.    Semester and Year  
E.    Faculty Member  
F.    Student  
G.    Project completion date  
H.    Project Title     

II.    Project Outline--An outline of the proposed course must be attached to this request form.  The outline must include the title of the project, list of course materials and/or books, meeting times, methods of evaluation, and specific assignments which the student must complete.

III.    Approval

Title Signature Date
Student    
Faculty Member    
Department Chair    
Dean