University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences
Independent Study Proposal Form
PHRD 7855-001/002
(Approved by the Curriculum Committee July 5, 2010; Last Updated December 1, 2016)
This form should be completed by the supervising faculty member. It must be submitted with the Independent Study Approval form to the Independent Study Course Directors. For further details, refer to the Guidelines for Independent Study document.
A.Independent Study title:
B.Name of student:
C.Name of supervising SOP faculty member:
D.Name of other key individuals:
E.List of previous independent studies that faculty supervisor has mentored (include dates):
F.Description of prerequisite knowledge, skills and/or abilities required by the student to successfully complete the Independent Study:
G.Statement of the goal(s) of this Independent Study:
H.List specific learning outcomes to be met by the student.These outcomes must be well defined and measurable by the supervising faculty member. At least one of these must be from the 14 approved Ability Based Outcomes for the University of Colorado Doctor of Pharmacy curriculum.
I.Description of assessments that will be used to determine student achievement of each learning outcome (noted inH. above). For each assessment, include what constitutes a pass. Note: Independent Studies are graded as pass or fail only.
J.Description of expectations of the student in relation to professionalism, e.g., dress code, punctuality, need for preparation.
K.Description of time to be devoted by the student to the study.Independent Studies are generally 2 credit hours total, but can be up to 4 credit hours with sufficient justification. The time commitment should be 30 to 45 contact hours per credit hour.
Provide estimate of time (hours) to be devoted to the study each week: hrs/wk
Indicate total duration of Independent Study: wks (This should not exceed 52 wks)
Number of credit hours for the study: cr (This should not exceed 4 cr)