Ctva Supervision Course Enrollment Form printable pdf download

Department of Cinema and Television Arts

CTVA Supervision Course Enrollment Form

(Do not use for Internships)

1. Complete the “Student” portion of this form

2. Have the instructor who will act as your sponsor through the course complete the “Faculty” portion.

3. Bring the signed form to the CTVA office (MZ 195) and get a permission number for the course.

4. Use the Permission Number you are given and register for the course.

Student completes the following:

Student’s Name:________________________________ Signature: __________________________________

(Print Name)

Local Phone: __________________________________ Today’s Date: _______________________________

Email: ___________________________________________________________________________________

CTVA Major Option: _________________________________

CSUN ID: _____________________________

CTVA Faculty member completes the following:

Student is approved for enrollment into ______________________________________________________

(CTVA 329ABC, CTVA 395; CTVA 499ABC, or CTVA 699ABC)

Description of project or assignment for the course:

_____ P.A. for CTVA ________

______ P.A. for student production

______Equipment Room

_____ Other: (Describe work to be done) _______________________________________________________

_________________________________________________________________________________________

Faculty Sponsor: _______________________________ Signature: __________________________________

(Print Name)

CTVA Department office (MZ 195) completes the following:

The instructor who will assign the grade will be __________________________; Approver_________________

CTVA _____ CN _________ PN _________ expires on _________ ; PN _________ expires on _________

Semester: Fall _______

Winter _______

Spring _______

Summer _______

Word – Supervision Course form 5/06

Ctva Supervision Course Enrollment Form