Independent Study/Readings In Music
Supervision Approval Form
Music 190, 191
In order to take Independent Study, complete this form, obtain the signature of your instructor and return
the form to the department office. Confirm your enrollment by registering for the course on-line.
Date: Fresno State Email: @mail.fresnostate.edu
Name: Fresno State ID:
Last Name First Name MI
Address:
Cell Phone: Other Phone:
Supervision Course (Number/Title) Music:
Schedule Permission #
Number Will be issued Units:
FALL SPRING SUMMER
• Please check which sense the proposed independent study project conforms to Item 1 of the Regulations
for Independent Study.
Desire to pursue information not covered in a regular course.
Desire to study a special area in greater depth than is given in a regular course.
• Describe briefly the nature of the independent study project to be undertaken and, if possible at this
time, the title of the paper.
The above student has an overall grade point average of 3.0 or higher.
Although the above student lacks a 3.0 overall grade point average, it is my belief that he/she will
benefit from this study.
Supervising Instructor (Type or Print):
Signature of Supervising Instructor:
Signature of Department Chair:
