APPLICATION FOR INDEPENDENT STUDY/RESEARCH

SUNY Plattsburgh Please follow guidelines listed on reverse side of this form. STUDENT INFORMATION

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Students Name: Print Last Name, First Name ________________________________________ Local or Cell Telephone Number Major(s)

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Students ID

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Cumulative GPA

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Minor(s)

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Class Level

Total number of credit hours to be registered for this semester, including proposed independent study:________ Total number of independent study credits completed prior to this proposal: ___________
undergraduate

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graduate

COURSE INFORMATION

Course Subject/Number (e.g., ANT#99, where # can be 1 to 5 depending on level, or departmental research number): _________________ Title of Independent Study/Research (print): ____________________________________________________________ Number of Credit Hours for this Independent Study/Research: ______________________________________________
(Faculty sponsor must attach justification for the number of credit hours awarded.)

Date Project Begins:

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Date Project Ends:

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Hours of Effort per Week: _______________________ Location (circle one): Main Campus Branch Campus (ACC) Miner Center HVCC Other (list):_______________

Faculty Sponsors Name: _________________________ Sponsors Campus Address/Phone: ____________________ Explain how this course is applicable toward the students degree program:_________________________________ _______________________________________________________________________________________________ Satisfies Major Requirements: In Major but Elective; Satisfies Minor Requirement; College Elective Credit (Note: If the independent study is a deviation/substitution for a course in the students program, a Deviation Request Form must accompany this application.) Signatures must be obtained in the following order: COURSE APPROVAL Yes No Faculty Sponsor: _____________________________________________ Academic Advisor: ____________________________________________ Chair (of department offering course): _____________________________ Dean (of division offering course): ________________________________ CREDIT OVERLOAD APPROVAL (see I.B. in Guidelines and Procedures on reverse side) Yes No Chair (of students major): ______________________________________ Dean (of students major): ______________________________________
Dean retains full copy and distributes first-page copies to student, advisor, and Registrar; full copy to Faculty Sponsor

Date:_____________ Date:_____________ Date:_____________ Date:_____________

Date:_____________ Date:_____________
VPAA: 12/2010

GUIDELINES AND PROCEDURES FOR INDEPENDENT STUDY/RESEARCH APPLICATION

I. GUIDELINES A. To be eligible for independent study undergraduates should have a 2.5 cumulative grade point average and graduate students should have a 3.25 cumulative grade point average. If GPA requirement is not met, discussion with your advisor, chair, and dean should occur prior to submitting the form to your faculty sponsor. B. Undergraduates may not take more than 18 credits per semester including the independent study, and graduate students may not take more than 15 credits per semester including the independent study, except with permission from the students advisor, the department chair and dean of his/her major. Permission is also required to exceed 15 credits for all summer sessions combined or to exceed 7 credits for the winter session. C. No more than nine credits of independent study may be applied to a graduate degree. D. To receive credit for independent study in any semester the Application for Independent Study/Research must be approved and received in the deans office by the end of the second week of the semester (or first week of the summer or winter session). E. The ending date of the independent study must be within the term it was initiated; projects spanning more than one term must be subdivided, with separate applications submitted. II. PROCEDURES (Please print or type responses) A. Prior to preparing the final proposal for your independent study or research, discuss the idea and a draft of the proposal with your sponsor and advisor. B. Prepare the final independent study or research proposal including the following: 1. Statement of the problem, question, or investigation with specific learning objectives to be pursued; this is the what of the proposal. 2. In one sentence, state the purpose or rationale of the study. 3. Procedure to be followed (lectures to be attended, books/papers to be read, research to be conducted, technical processes to be used); this is the how of the study. Supply references to sources as appropriate. 4. Method of supervision and/or interaction with faculty sponsor (how often you will meet with your sponsor: describe the nature of the meetings or supervision). 5. State the products of the work that will be used for grading (reports, talks, demonstrations you will give, tests, papers, etc.) for determining a grade and the grading system to be used (A-E or Pass/Fail). 6. Note: If your proposed study involves research with human or animal subjects you must also complete an application for research with human or animal subjects. Contact the Office of Sponsored Research, Kehoe 815, ext. 2155. C. Obtain all required signatures.