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INDEPENDENT STUDY, INDEPENDENT RESEARCH, THESIS and SCHOLARS HONORS (Union College)

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PERMISSION SLIP FOR:
INDEPENDENT STUDY, INDEPENDENT RESEARCH,
THESIS and SCHOLAR’S HONORS PROJECT PRACTICUM
Instructions: Download this form, fill it out, save it then email it to maloneys@union.edu along with
permission from the faculty member (s) who will grade you. In lieu of the faculty member's signature,
permission can come in the form of an email as long as it comes from their @union.edu account.
__________________
LAST NAME FIRST NAME MI STUDENT ID# CLASS YEAR
TERM MAJOR PHONE NUMBER (where you can be reached)
____ HONORS RESEARCH: Part 1___ Part 2___ Part 3___
Course Prefix Course Number
____INDEPENDENT STUDY:
Course Prefix Course Number
____PRACTICUM: Part 1___ Part 2___ Part 3___
Course Prefix Course Number
____ RESEARCH: Part 1___ Part 2___ Part 3___
Course Prefix Course Number
____SCHOLAR’S HONORS PROJECT Part 1___ Part 2___ (1 TERM___)
Course Prefix Course Number
____THESIS: Part 1___ Part 2___ Part 3___ (1 TERM___)
Course Prefix Course Number
__________________________________________
Instructor(s) Name (print clearly)
__________________________________________
Signature of Instructor(s) who will grade this course REV 5/29/20
Registrar’s Office
Silliman Hall
Schenectady, NY 12308
Phone 518-388-6109
Fax 518-388-6173
registrar@union.edu
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INDEPENDENT STUDY, INDEPENDENT RESEARCH, THESIS and SCHOLARS HONORS (Union College)

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Completed 28 August 2020

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