Albion College Office of the Registrar

Mode and Category Courses for Graduation

DEPARTMENTAL HONORS/DIRECTED STUDY FORM
You must have junior standing to participate in independent work.
This form must be completed and returned to the Office of the Registrar with all required signatures before the end of the registration period for the semester in which you expect to receive credit.

Directed Study/Departmental Honors (circle one)
411 .50 unit	412 1.0 unit	413 1.50 unit	414 2.0 unit

NAME:
STUDENT#	DATE
PHONE#	KC#
SEMESTER YEAR	CLASS JR SR (circle one)
DEPARTMENT:
TITLE:

Goals:

Method:

Evaluation Criteria:

Frequency of Meetings:

Signature of Student____________________________________
Signature of Faculty Supervisor ___________________________
Faculty (Print Name)____________________________________
Signature of Department Chair____________________________

Submit Completed Form to the Office of the Registrar.

Last Modified 12/13/04 by
Robin L. Dunn

New Page 1

Albion College ◦ Albion, Michigan ◦ 517/629-1000