Revised 8-22-18
APPLICATION FOR SPECIALIZED GRADUATE STUDY
Date: _______________
Full Name: ___________________________________________________________ Student ID#: ___________________________
E-Mail: _____________________________________________ Graduate Program: ________________________________________
Projected Graduation Date: _________________________ Hours this quarter __________ (Exclusive of this course) GPA _________
A student taking Specialized Graduate Study will read widely on a chosen subject, prepare a written proposal, produce a paper and/or
project demonstrating competence in the subject area. Proposal and Syllabus must be attached to this form. This form must be
submitted least two weeks prior to beginning the project.
Application for specialized study in _____________________________________________ during _________ quarter _______ year.
Check One:
559 Supplemental Studies 569 Advanced Study 579 Directed Research/Project Course (Independent basis)
CALL #
COURSE
PREFIX/NO.
COURSE TITLE
CREDITS
INSTRUCTOR
Title of Project: ______________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________
STUDENT DATE ADVISER
DATE
__________________________________________________________________________________________________________________________________________________________
PROGRAM DIRECTOR
DATE
DEAN/CHAIR DATE
DO NOT WRITE BELOW THIS LINE
ACTION:
______________________________________________________________
DEAN OF GRADUATE STUDIES DATE
*
It is understood that this project is to be completed during the enrolled quarter and all work is to be submitted prior to examination
week unless other arrangements are made in writing and approved.