EasternIllinoisUniversity
CollegeofEducationandProfessionalStudies
IndependentStudyFormHST4741
IndependentStudyisanindividualprojectunderfacultysupervisiondealingwith
pertinentliterature,research,programsorotheractivitiesrelatedtoselected
topicsinHealthStudies.
Baseduponavailableresources,therequestforindependentstudywillbe
prioritizedasfollows:
1. HealthStudiesMajors
2. HealthStudiesMinors
3. NonHealthStudiesstudents
Expectations
o StudentwillcorrectlyandprofessionallycompletetheIndependentStudy
Form
o StudentwillcorrectlyandprofessionallycompletetheIndependentStudy
(I.S.)UpdateformANDconsistentlysubmittheformwithintherequired
timeframes.
o Studentwillsubmitafinalproductthatexhibitsanunderstandingofthe
profession,issuitableforpresentationinaprofessionalsetting,and
demonstratesaneffectivelevelofunderstandingofmajorconcepts.
GradingScale:
o A=ExceptionalB=ExceedsExpectationsC=MeetsExpectations
D=DoesNotMeetExpectations
S
TUDENTSHOULDCOMPLETETHISFORMANDRETURNTOFACULTYMENTOR
StudentName:
BannerID:
Studentemail:
GPA: (Minimum 2.5)
NumberofHSThourscompleted: (Minimumof15inHSTrequired)
NumberofCreditHoursrequest
(Limit:HSTMajors:upto6hours;nonmajorsupto3hours)
Numberoftotalclockhours:
(Required:45clockhourspersemesterhour.Hourswillbedocumentedbycompleting
andsubmittingtheattachedmonthlyIndependentStudy(I.S.)Updateform)
SemesterorTimeFrameforCompletion:
DescriptionofActivity:Provideabriefdescriptionofplannedactivity.Includeamonthly
timelinefortasksorcomponentstobecompletedandthenatureorformofthefinal
product.(Afinalproductcouldbeawrittensummaryofactivityorresults;apowerpoint
presentationofactivityorresults;actualproductsuchasabrochure,survey,poster,
resourcemanual;presentingtheprojecttoaclass;orsubmissiontopresentata
conference.Useattachmentsifneeded.
StudentSignature:_____________________________________Date________
FacultyMentor:
FacultySignature:_____________________________________Date:_______
______Approved _______Disapproved
Comments:
_________________________________________Date:_____
DepartmentChair
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