Name 						
									   		     PLEASE PRINT

UNIVERSITY AT ALBANY
Department of Information Studies

INDEPENDENT STUDY PROPOSAL
(IST 669)

    Please submit this form to the IST Office (Draper 113) at least one week before you plan to register.  You should already have discussed your proposal with the faculty member who will supervise your study.  The study should be at least equivalent in its demands and effort to a regular course of equal credit.  It may not substitute for any course in the curriculum.  Your proposal must be approved and signed by the faculty supervisor before submitting it to the office for the dean’s approval.

I request approval for the following independent study, to be taken in ________________________________________										SEMESTER			YEAR
Number of credits to be earned:  _______
Number of credits previously taken in independent study:  _______
Title:  _______________________________________________________________________________
Abstract of proposed study:  												

															

															

															

															

															
	Student ID			Signature of Student

												
					Signature of Faculty Member

												
				Signature of Dean				Date