Fillable Honors Independent Study Proposal Form (College of DuPage)

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Honors Independent Study Proposal Form (College of DuPage)

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Revised 11-12-20 1
COLLEGE OF DUPAGE HONORS PROGRAM
Honors Independent Study Proposal Form
Instructor Name: Date of Submission:
For Term/Year:
Phone/Extension: Instructor’s email address:
Department/Course Number: Course Name:
Beginning date: End date:
Credit hours: Lecture hours: Lab hours:
Student Name: Student’s I.D. No.:
Student’s Phone No: Student’s school email address:
List Previous Honors Course(s):
For Honors Program office use only. Date Received: Initials:
Instructions:
Please see the “Honors Independent Study Guidelines for Students and Faculty” for instructions and deadlines.
Two forms need to be completed and approved so the student can enroll in the class as an Honors section:
1. The division’s regular Independent Study form will need to be approved by the instructor’s Dean in
order to have a course created in which the student can register.
2. The Honors Independent Study form needs to be approved by the Honors Program in order for the
course to be given the course type of “Honors.”
Submit these two completed forms to the Director of the Honors Program, Honors Program Office, BIC 3418,
630-942-3318, honorsprogram@cod.edu.
Deadlines: Thursday of the second week of class after Fall, Spring or Summer term begins.
Early submissions are encouraged.
Revised 11-12-20 2
Abstract: Provide a brief summary. What is the topic, what will the product be, and what are the possible
venues for having the student share their product? (100 to 300 words)
The student is required to have a product of some kind that will be presented to an audience. Please check one:
Paper/Essay
Professionally printed poster*
PowerPoint-type presentation
Demonstration
Artwork
Musical composition
Computer program
Other, please specify:
*Contact Writing, Reading and Speech Assistance for help creating a poster.
The instructor and student will work with the Director of the Honors Program to find a suitable audience. Please
check one:
A presentation to a small group in the Honors conference room
A presentation to a class
A submission to a publication for undergraduate student work such as COD’s Essai or the
National Collegiate Honors Council’s UReCA
Revised 11-12-20 3
Presentation at the Honors Council of the Illinois Region’s Student Symposium in February
Presentation at the COD Library Student Research Symposium
Other, please specify:
Honors course criteria are separated into core criteria and elective criteria. All Honors Independent
Study courses must address the core criteria. Elective criteria are optional. The purpose of listing criteria
is to demonstrate how the Honors Independent Study is qualitatively different from a regular
Independent Study. These criteria help distinguish an Honors Independent Study from a regular course.
Briefly explain how this project will encourage the development of the required Core Criteria. For example,
what are the anticipated assignments, readings, topics of discussion? Demonstrate how the Honors Independent
Study is qualitatively different from a regular Independent Study. (Up to 100 words per Core Criteria)
Briefly explain how this project will incorporate any of the optional Elective Criteria. If an Elective Criterion is
not applicable, simply put N/A. Elective criteria can help distinguish an Honors Independent Study from a
regular course. (Up to 100 words per Elective Criteria)
Elective Criteria
The Proposed Honors Independent Study will include:
Field Trips/Field
Work
Service Learning/
Community
Engagement (e.g.
volunteer project)*
Core Criteria
The Proposed Honors Independent Study will include:
Independent/Critical/
Creative Thinking
Reading (e.g. required texts,
types of publications, etc.)
Writing (e.g. assignments)
Active/Interactive Learning
(e.g. Application Activities,
Laboratory Experiments, Data
Collection)
Conducting Research and/or
Primary Source Analysis
Revised 11-12-20 4
Innovative Pedagogy
Interdisciplinary
Approach
*Contact the Service Learning office for criteria needed to earn Service Learning designation on transcript.
Signatures:
Instructor: Date:
Student: Date:
Director of Honors Program: Date:
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Honors Independent Study Proposal Form (College of DuPage)

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Completed 3 February 2021

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