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Course! Alpha:! !
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! ! !!!!!!!!!!!!!Course! Number: !!! ! 99V ! !!!!!!!!!!!!!!!Title:! ! ! ! ! ! !
Semester:! !!!!!!!!!!Fall! ! Spring ! ! Summer! Year:! !20! !! Credits:!! ! ! ! !
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Is !this !course !to !be! used!i n!l ieu!of ! a! regular! course?! !!!!!!!!!!!!!!!No! !!!Yes!
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DIRECTED(R EADING( OR( R ESEARCH (COURSE( FORM (
(For! Graduate !Program! Courses:! 699V, !or! 799V) (
Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091! /! Student Services! Center,! First Floor Rm 101 / Phone:! (808) 932-7447! /! Fax: (808) 932-7448! /! E-mail: uhhro@hawaii.edu
• This form must be completed prior to registration for an y course numbered 699V or 799V.
• The s
tudent m ust obtain the consent of the directing instructor as well as the graduate program chair.
• The OR
IGINAL COPY of this form must be submitted! to! the Graduate Division.
SECTION( I:( (Student( Information:!
Name: __________________________________________________!
Phone: _________________________________________________
Student s
ignature:
Email: __________________________________@h
awaii.edu
Program: __________________________________________
Date:
SECTION (II: (Course(I nformation:(
If !yes,!c o n te n t !and !sem e st er !hou rs !mu s t !be !identica l!to !regu la r !cour se : Course Alpha & Number:
SECTION III: Course( Outline:
Provide! a! detailed outlin e of! your! proposed work (use reserve side or! attach a separate sheet)! to include: Overview of the' proposed course;
purpose or objectives; including' expected' learning' outcomes; procedure for how the course will be taught; resources to' be used; expected' products from the course;
means of evaluation.
SECTION IV: Directing Instructor and Graduate Program Director permission:
Directing I
nstructor Name:! ID !or !user n ame:!
Directing I
nstructor Signatu re:! Date:
Primary A
dvisor Name:
Primary A
dvisor Signature:! Date:
Graduate P
rogram Chair Name:
Graduate P
rogram Chair Signature:! Date:
SECTION V
: Su bmit ORIGINAL com pleted form to the Graduate Division
FOR GRAD DIVISION USE! ONLY: Date: Initials:
FOR REG
ISTRAR OFFICE USE ONLY:
☐ SIAASGQ ☐ SSASECT* ☐ SFAREGS
*Uncheck Voice Response
Date: Initials: CRN:
Rev. 06/2017
