1) Name

2) Contact Info: email and telephone

3) Total number of credits

4) Short title of proposed study

5) Learning Objectives: Describe your proposed study by answering the following five questions. Use complete sentences and limit your answers to no more than one paragraph per question.

i) What do you want to learn?

ii) How are you going to learn it?

iii) How are you going to know when you’ve learned it?

iv) How are you going to show others—faculty and friends—that you have learned it? (NOTE: A journal as well as a log of your hours and activities associated with your independent study is required.)

v) What difference will it make?

6) Related academic preparation and work experience.

7) Support expected from faculty.