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TO BE COMPLETED BY ACADEMIC AFFAIRS: SECTION#: CRN#:
MOTLOW STATE COMMUNITY COLLEGE
INDEPENDENT STUDY COURSE PROPOSAL
Independent Study courses are designed for students interested in pursuing specific study projects in
fulfillment of graduation requirements and under the supervision of the discipline instructor. These
courses must be approved by the advisor and the curriculum chair. Only six semester hours earned in
independent study courses may be used toward meeting degree requirements. This course proposal
should be submitted to the curriculum chair at least one week prior to the beginning of the semester in
which the course is to be taught. If the need for a independent study course arises on or after the
official registration day, the course proposal must be submitted at least two days before the last day to
add a class.
If the student is using an Independent Study (2990) course, a Course Substitution form must
be submitted if the course isn't for elective credit.
COURSE TITLE: CREDIT HOURS:
COURSE#:
INSTRUCTOR: TERM:
COMPENSATION RATE $100 PER CREDIT HOURS: CREDIT HOURS _____________
ACADEMIC DEPT ACCOUNT TO BE PAID FROM: # COMPENSATION:
1. STATEMENT OF COURSE GOALS (educational performance to be achieved):
2. LIST OF SHORT TERM INSTRUCTIONAL OBJECTIVES AND ACCOMPANYING ACTIVITIES:
3. BRIEF COURSE OUTLINE:
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4. DESCRIPTION OF COURSE EVALUATION PROCEDURES:
5. JUSTIFICATION FOR TEACHING THE COURSE:
STUDENT: CLASSIFICATION
MyMotlow ID (A#): GPA:
DEGREE: MAJOR: EMPHASIS:
APPLICANT :
Date
APPROVED:
Instructor
Date
Curriculum Chair Date
Academic Dean Date
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STUDENT: CLASSIFICATION
MyMotlow ID (A#): GPA:
DEGREE: MAJOR: EMPHASIS:
APPLICANT:
Date
APPROVED:
Date
Curriculum Chair Date
Academic Dean Date