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TUTORIAL 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.

NAME:
STUDENT #: DATE:
PHONE #: KC #:
SEMESTER: YEAR: CLASS (circle one):   FR    SO    JR    SR
DEPARTMENT:
TITLE: COURSE #                       T
AMOUNT OF CREDIT (circle one): .50 unit 1 unit
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 01/01/04

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GENERAL INFORMATION
PROGRAM REQUIREMENTS

 
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