Fort Lewis College
Independent/Individualized Study Learning Plan (299/499)
Student Name:______Date:______
E-mail:______Student ID: ______
Major: ______
Credit Hours Completed:______Cumulative GPA:______
Note: College policy allows a maximum of 8 credit hours of 299/499 course work toward graduation requirements. Course work taken above this maximum will not appear on the transcript and cannot be used to meet graduation requirements.
Dept:______☐299 ☐ 499
Year: ______☐ Fall ☐ Spring ☐ SS1 ☐ SS2 ☐ SS3 ☐ SS4 ☐ SS5
Credit Hours:______
NOTE: The number of credits earned for an Individual or Independent Study course is based on the number of hours the student will take to complete it. Students must complete a minimum of 50 hours of work for each credit hour earned. The appropriate number of credit hours will be determined by the instructor of record who will also document that the student completed those hours.
Instructor of Record:______
Description of the proposed Independent Study:Explain why an independent study is more appropriate than an existing course for achieving the learning outcomes.
Learning outcomes for the proposed independent study:
At the end of this Independent Study, the learner will be able to (feel free to add or subtract as needed):
1.
2.
3.
4.
Assessment Measures: Describe the methods of conducting and evaluating the Independent Study (for example, research and reading, written reports, regular meetings and discussions, final paper or report). Indicate any specific assignments and any dates when specific elements are to be finished. Describe how the student’s performance will be assessed and when, and how the required number of hours will be documented.
Please describe the number of hours expected for each activity and the total time commitment.
Activity: / Expected time commitment:Total Hours:
Required Signatures:
Student: ______Date: ______
Instructor:______Date: ______
Chair: ______Date: ______
Dean:______Date: ______
Arts and Sciences –171 Berndt Business – 134 EBH
Teacher Education—240 Berndt