Graduate Independent Study / Problem Report Project Proposal

Note: click here for the Undergraduate Independent Study Form

Student Information

Student Name


Phone Number (304-555-5555)

Marshall Email Address

Expected Graduation Date
 Semester          Year


Graduate Advisor Information

Advisor's Name

Advisor's Email

If your advisor will be the mentor for this Independent Study Project, check this box

Mentor Information

Is your Independent Study Mentor a BSC faculty member?
   **Note: if not, you must contact the Capstone/Independent Study coordinator and receive approval for doing a project under this mentor before submitting this form!

Independent Study Mentor's Full Name (Salutation, First, and Last Names)

Mentor's Email Address

Mentor's Profession

Mentor's Address

Mentor's Phone Number (304-555-5555)

In the space below, describe why you want to do your Research Capstone project under this mentor. Include a description of what skills, knowledge, or other experience you will gain by working with this mentor, and why you cannot obtain a similar experience within the Department of Biological Sciences.

Project Information

Semester(s) and year the project will be carried out:

Number of Registered Hours

Project Title:

Note: the registrar limits title length for Independent Study projects to 23 characters, including spaces.

In the space below, describe the independent study plan you and your mentor have agreed upon.
Be sure to read the instructions on the previous page to avoid delays in your project approval

Department of Biological Sciences
One John Marshall Drive | Science Building 350 | Huntington, WV 25755