N704c is a Summer Independent Study. This elective study is initiated by faculty or student and negotiated with the faculty. The purpose is to allow in-depth pursuit of individual areas of interest and/or practice with the guidance of a faculty member. An Independent Study is comparable to any academic course. As such, it is subject to the same policies described in Instructions for Course Schedules. CREDIT CALCULATION: 1 classroom (theory) hour per week per semester (12 weeks) = 1 credit 3 clinical/laboratory hours per week per semester (12 weeks) = 1 credit COST: Tuition is calculated at a rate of $1,195.00 per credit. CONTRACT: The contract is due in the Student Affairs Office at the beginning of summer term. The contract must be signed by the student, the faculty member(s), the appropriate Program Director, and the Registrar. The contract must include the following, to be attached to the contract face sheet:*A statement of purpose *Site (if lab or practicum) *Objectives *Desired Outcome *Methodology *Method of evaluation *Frequency, type of meeting with faculty, e.g., tutorial, clinical, conference, seminar, etc. *Demonstration, scholarly paper, etc. If the independent study is for clinical work, all clinical placements and preceptors must be arranged and documented according to current policies and procedures including: a completely executed Clinical Experience Agreement, Schedule A, and courtesy faculty appointment. Summer Independent Study Form Name * Student ID * Student E-mail * Specialty * N704 C Title of Study Title of Study * Classroom/Seminar Experience Please put hours/week and # of weeks. Ex) 10hr/week for 10 weeks Clinical/Lab Experience Please put hours/week and # of weeks. Ex) 10hr/week for 10 weeks Clinical Conference Please put hours/week and # of weeks. Ex) 10hr/week for 10 weeks # of Credits see Guidelines for calculation formula Faculty E-mail * Faculty Advisor E-mail * Assist. Dean for Students E-mail * Clinical PracticeIf this is a clinical practice experience, the following information must be provided: Clinical Preceptor Name Agency, Address Telephone Attach Information Files must be less than 2 MB.Allowed file types: pdf doc docx. I am aware of the expectations for the Independent Study and have discussed them with the faculty member(s) with whom I will work. Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.