ID #____________________
MONMOUTH COLLEGE
INDEPENDENT STUDY AGREEMENT
This agreement serves as a course syllabus for the independent study program. Thus, this document must include all
of the expectations and requirements of both the student and the professor of this course. Please address each of the
following questions on separate paper and submit it to the registrar. The agreement must be submitted and approved by
the last add date of the semester in which the course will be taken or prior to the last day of class for the spring
semester if the course will be taken in the summer. Both the student and the advisor should retain a copy of this
agreement before submitting it to the registrar.
Note: Independent study courses must contain a strong academic component that cannot otherwise be acquired by
Monmouth College course offerings during the remainder of the student’s time on campus. Furthermore, independent
study courses are not intended to replace courses the student previously dropped or courses in which they received a
failing grade or an incomplete.
____________________________________________ and ______________________________________________
Student Name Instructor Name
Agree to fulfill the requirements for the independent study course numbered and entitled:
____________________________________________________________________________________________
Course Number and Title
1. Please provide the RATIONALE for this independent study that clearly connects this course to the goals of
the student’s major.
2. Please provide a list of GOALS FOR THIS COURSE, specifically, the skills and concepts that will be
mastered by the student prior to completion.
3. Please provide a list of the REQUIREMENTS FOR THE COURSE, such as specific readings and other
assignments, tests, progress journals, etc. as well as intended hours and distribution of contact time with the
student. Explicitly state the EVALUATION METHODS with which you will assess student progress (e.g.,
oral reports, papers, exam, etc.).
4. Please provide the WORKLOAD EXPECTATION, including the hours per week spent on readings, papers,
projects and preparation for exams.
REQUIRED COURSE CREDIT FOR THE STUDENT’S MAJOR: 0.25___ 0.5___ 0.75___ 1.0___
SEMESTER: FALL______ SPRING _______ SUMMER _______
YEAR: __________
We, the undersigned, agree to the terms set forth by the above-mentioned independent study agreement.
__________________________________________ _______________________________________
Student Signature Date Instructor Signature Date
__________________________________________
Department Chair Signature Date
Updated: 01/07/2016
