The College of the Liberal Arts

Department of Anthropology

Request for Independent Study: ANTH 596

Complete the following information with the Instructor, and review this application with your Advisor
(if different from Instructor). Continue on reverse as necessary.

Student: ___________________________ PSU ID: _______________________________

Phone: ____________________________ Faculty Member: _______________________

Semester (circle semester; provide year):

FA SP SU (1st 6-week) SU (2nd 6-week) SU (both) Year: ___________________
Credits: _______________

Purpose (course objectives):

Why a student’s interest cannot be served by a regularly scheduled ANTH course:

Kind and amount of work required:

Frequency of lab, field, or office meetings (weekly, etc.):

Signature(s):

Student*: __________________________________________ Date: ___________________

Instructor: ________________________________________ Date: ___________________

Faculty Advisor: ___________________________________ Date: ___________________

* I understand the Instructor’s decision is final regarding the grade.

Return to Audrey Chambers, 414 Carpenter Bldg, to register you for the course.