!!
!
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
!
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
! ( ! ! ! ! ! ! ! ! !!
!
! !!! ! !
! ! ! !
!
!
( !! ! ! ! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !
!
(
Course! Alpha:! !
!
!! ! ! ! !
! ! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
! ! !!!!!!!!!!!!!Course! Number: !!! ! 99V ! !!!!!!!!!!!!!!!Title:! ! ! ! ! ! !
Semester:! !!!!!!!!!!Fall! ! Spring ! ! Summer! Year:! !20! !! Credits:!! ! ! ! !
!
Is !this !course !to !be! used!i n!l ieu!of ! a! regular! course?! !!!!!!!!!!!!!!!No! !!!Yes!
( ( !
! ! ! ! ! ! ! ! ! ! ! ! ' ' ' '
' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '
' ' '
'
'
'
'
'
( ( ( ( ( ( ( ( (
(
! ! ! ! ! ! ! ! ! ! !! ! ! !
!
! ! ! ! ! ! ! ! ! ! ! ! !! ! ! !
! ! !! ! ! ! ! ! ! ! ! ! !!
! ! ! ! ! ! ! ! ! ! ! ! !! ! ! !
! ! ! !! ! ! ! ! ! ! ! ! !
!
! ! ! ! ! ! ! ! ! ! ! ! !! ! ! !
!
( ( ( ( ! ! ! ( ( (
! ! ! !! ! ! !!! ! ! !
! ! ! ! ! ! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!
!!!!!! ! !!!!!!! !!!!!!!! ! ! !!! ! ! !! !! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIRECTED(R EADING( OR( R ESEARCH (COURSE( FORM (
(For! Graduate !Program! Courses:! 699V, !or! 799V) (
Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091! /! Student Services! Center,! First Floor Rm 101 / Phone:! (808) 932-7447! /! Fax: (808) 932-7448! /! E-mail: uhhro@hawaii.edu
• This form must be completed prior to registration for an y course numbered 699V or 799V.
• The student mus
t obtain the consent of the directing instructor as well as th e graduate program chair.
• The ORIGINAL COPY
of this form must be submitted! to! the Graduate Division.
SECTION( I:( (Student( Information:!
Name: __________________________________________________!
Phone: _________________________________________________
Stud
ent signature:
Email
: __________________________________ @hawa
ii.edu
Program: __________________________________________
Date
:
SECTION (II: (Course(I nformation:(
If !yes,!c o n te n t !and !sem e st er !hou rs !mu s t !be !identica l!to !regu la r !cour se : Course Alpha & Number:
SECTION III: Course( Outline:
Provide! a! detailed outlin e of! your! proposed work (use reserve side or! attach a separate sheet)! to include: Overview of the' proposed course;
purpose or objectives; including' expected' learning' outcomes; procedure for how the course will be taught; resources to' be used; expected' products from the course;
means of evaluation.
SECTION IV: Directing Instructor and Graduate Program Director permission:
Directing Instructor Name:!
ID !or !user n ame:!
Directing Instructor Sign a
ture:! Date:
Primary Advisor Name
:
Primary Advisor Signa
ture:! Date:
Graduate Program Cha
ir Nam e:
Graduate Program Cha
ir Sign a tu re :! Date:
SECTION V: Subm
it ORIGINAL com pleted form to the Graduate Division
FOR GRAD DIVISION USE! ONLY: Date: Initials:
FOR REGISTRAR OFFI
CE USE ONLY:
☐ SIAASGQ ☐ SSASECT* ☐ SFAREGS
*Uncheck Voice Response
Date: Initials: CRN:
Rev. 06/2017
