Date of Proposal                    
Number of Credits                  

Independent Study Proposal



Name                                                                                           I.D. #                                        
Local Address                                                                       Phone #                                        
Class (Year)                           Total University Credits                           GPA                           
                                                 Total Theatre Credits                             GPA                           
Area of Study                                                                                                                             

Courses Taken Related to Proposed Area of Study                                                                                                                                                                                                                                                                                                                                                                         

Justification for Proposal                                                                                                                                                                                                                                                                                                                                                                                                                       

Detailed Description of Nature of Study                                                                                                                                                                                                                                                                                                                                                                                                 

Members of Theatre/Dance Faculty who might supervise study                                                                                                                                                                                                                                                                                                                                                              

Attach Current Resumé, APR, & Outline of the Proposed Study (including all relevant materials)

DUE IN OFFICE THE 1ST FRIDAY IN DECEMBER FOR THE FOLLOWING ACADEMIC YEAR!


*****FOR OFFICE USE ONLY*****
Faculty Action: Independent Study Proposal

      Faculty Action: Approved                          Disapproved (reasons attached)                         
      Faculty Member who will supervise study                                                                             
      Faculty Signature                                                                                 Date                            
     Student Signature                                                                                 Date