Information message Instructions: Please complete this form after meeting with a biology faculty member to discuss and design the Independent Study. Once this form has been completed, it will be sent to the Department Chair for approval. After approval from the Chair, a follow-up email will be sent with instruction to pick up the Direct Independent Study Permit card and turn it in to the Registrar’s office (OM 230). Student Information Name W# Student E-mail Major Faculty Advisor Name Independent Study Project Title/Topic Instructor Instructor E-mail Independent Study Term Fall Winter Spring Summer Course BIOL 300 BIOL 400 Weekly Schedule (hrs/day) Credits to be earned Plan of Study Description Attach a typed description of your plan of study to this form. Your plan of study should be developed in consultation with the Instructor, and should include the following: General goals Hours per week devoted to specific activities Anticipated product from Independent Study (e.g. review paper, oral presentation, etc.) Statement of how your performance will be evaluated by the Instructor One file only.16 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.