Undergraduate Independent Study Form

Full Name *

Email *

Spire ID *

Subject

Enrollment Request *

Credits *

Spring/Fall *

Spring

Fall

Summer

Year *

Descriptive Title *

Statement of Objectives *

(i.e. To apply…, To explore… )

Planned Activities *

Criteria for Evaluation *

Basis for grading (i.e. Oral Presentation, Paper, Project, Homework, Exam, etc...)

Interdisciplinary

If your study is interdisciplinary, explain in detail the computational aspects of the project and how computing principles are used.

Discussed with Faculty *

Yes

No

Faculty *

Faculty Name

If not in list

Faculty Email

if not in list - username@cs.umass.edu

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