Petition for Graduate Individual Studies for Applied Math & Statistics, Biomolecular Engineering,

Computer Engineering, Computer Science, Electrical Engineering, Technology & Information Management

296

297

299

AMS/CMPS MS Project (2 units) or

BME Lab Rotation (5 units)

CALL NUMBER_____________________

Independent Study/Research (5, 10 or 15 units)

Coursework still in progress

COURSE NUMBER__________________

Thesis Research (5, 10 or 15 units)

Coursework completed
Continuing research

*The above will be completed by the graduate advising office*

SECTION NUMBER__________________

NAME:____________________________ DEPT:________
Check:
AMS 296
AMS 297
AMS 299

BME 296
BME 297
BME 299

CMPE 297
CMPE 299

This individual study is equivalent to

QUARTER:_______ YEAR:______

CMPS 296
CMPS 297
CMPS 299

(AMS/CMPS MS ONLY)

EE 297
EE 299
5

10

ISM 297
ISM 299
15

units.

This form is to be completed, approved, and filed with the department graduate office. Call numbers are
issued by the department through e-mail for enrollment. You must enroll through My UCSC after
receiving your call number.
Title and description of proposed work_____________________________________________________
___________________________________________________________________________________
Evidence of preparation for individual study (list prior course work, readings completed, persons
contacted, etc.):_______________________________________________________________________
____________________________________________________________________________________
Description of work to be submitted:_______________________________________________________
____________________________________________________________________________________
A written report
will
will not be required before credit is given for this individual study.
The last day for receipt of this report is __________(typically the last day of instruction in the current
quarter, except when specified by instructor).

Estimated number of hours per week:

Independently on project: ___________________

With sponsoring instructor:___________________

Student SoE Email__________________________

Faculty Name: _____________________________

Student signature: _________________________

Faculty Signature: __________________________

Date: _____________

Date: ________________

9/30/2011