S
TUDENT
/F
ACULTY
A
GREEMENT
UNIVERSITY OF MINNESOTA CROOKSTON
D
IRECTED
S
TUDIES
INDIVIDUAL STUDIES
STUDENT INFORMATION
Student’s Name: ____________________________________ I.D. Number: ______________
Major: _________________________________ Fr: So: Jr: Sr:
D
EPARTMENT
I
NFORMATION
Faculty Member: _________________________________________ Class # (5 digit)*___________
Course # (XYZ 1803): ______________ Course Title: ________________________________
Semester: _____________ Year: _________ No. of Credits: _______ Grading: A/F S/N:
COURSE INFORMATION **
Section 1: Project Title
Section 2: Learner Outcomes
Section 3: Methodology & Resources to be used (i.e. how the study will be conducted)
Section 4: Results to be Evaluated (e.g. written paper, artwork, presentation, etc.)
Undergraduate Research
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TUDENT
/F
ACULTY
A
GREEMENT
UNIVERSITY OF MINNESOTA CROOKSTON
D
IRECTED
S
TUDIES
INDIVIDUAL STUDIES
Section 5: Criteria for Evaluation and Weight of Criteria
Section 6: Periodic Updates (i.e. when & what specific items must be submitted to show progress)
Section 7: Date the Study will be completed
SIGNATURES
Department Head Signature: _____________________________ Date: _____________
Faculty Member’s Signature: _____________________________ Date: _____________
Academic Advisor’s Signature: _____________________________ Date: _____________
Student’s Signature: _____________________________ Date: _____________
Step 1: The student must complete this form in consultation with the academic advisor & faculty member.
Step 2: The student, academic advisor, & faculty member must sign and submit this form to the dept. head.
Step 3: The department head reviews the project for approval and keeps a copy for the academic dept. file
and makes a copy for the advisor & faculty member.
Step 4: Once approved, the department submits this form to the Office of the Registrar.
Step 5: The Office of the Registrar will create a class section, register the student, and image the document.
NOTE: Registration can only be completed in the Registrar’s Office with the proper form fully completed.
*Please provide the 5 digit class number if one has been created.
**A course syllabus may be provided in lieu of the course information (sections 1-7).
OTR 11/05/18