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Undergraduate Independent Study Project Proposal
Note: click here for the Graduate Independent Study Form
Student Information
Student Name
901#
Phone Number (304-555-5555)
Marshall Email Address
Major ... Biology Cell, Molecular and Medical Biology Ecology and Evolutionary Biology Microbiology Not a BSC Major
Non-BSC majors, write in your major below
Expected Graduation Date Semester Year ... Spring Summer Fall ... 2018 2019 2020 2021 2022 2023 2024 2025
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! ... Yes No, not a Marshall faculty member No, but are a Marshall faculty member in another department
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 ... 1 2 3 4
Project Title: Note: the registrar limits title length to 23 characters, including spaces.
In the space below, insert 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
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