Northern Michigan University Approval For Directed Study
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1
2NORTHERN MICHIGAN UNIVERSITY
APPROVAL FOR DIRECTED STUDY
DATE: _____________________________________
NMU IN: _____________________________________
NAME: __________________________________________________________________________________________________
(Last)
(First)
(M.I.)
ADDRESS: _______________________________________________________________________________________________
(Street)
(City)
(State)
(Zip Code)
TELEPHONE: _______________________ TELEPHONE: ________________________ EMAIL: ________________________
(Home)
(Cell/Work)
Check One:
Vocational
Freshman
Sophomore
Junior
Senior
Post-Baccalaureate
Graduate
TO BE COMPLETED BY SUPERVISING FACULTY MEMBER
Has permission to enroll in COURSE I.D: ___________________ DEPARTMENT: ____________________________________
TITLE: _________________________________________________________________________________________________
CREDIT HOURS: _______________ SEMESTER: _______________ YEAR: _______________ MAJOR: _______________
DESCRIPTION OF DIRECTED STUDY: (Attach additional sheets as necessary) _______________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
RATIONALE FOR DIRECTED STUDY:
(AAUP see 9.1.4.1 of the AAUP Agreement; NMUFA see 16.10 of the NMUFA Agreement)
(Also include if faculty member is teaching more than one directed study this semester.)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
[ ] for pay
[ ] on load
_____________________________________________________
Print name of faculty member supervising the directed study
___________________________________________________________
NMU IN of faculty member supervising the directed study.
_____________________________________________________
(Signature of Faculty Member)
Date
_______________________________________________
_____________________________________________________
(Signature of Advisor)
Date
(Signature of Department Head)
Date
____________________________________________________
__________________________________________________________
(Signature of Student)
Date
(Signature of College Dean and/or Asst. Provost
Date
Graduate Ed & Research)
NOTE: THE COMPLETED FORM WITH NECESSARY SIGNATURES MUST BE SUBMITTED TO THE
REGISTRAR’S OFFICE, C. B. HEDGCOCK, ROOM 2202, TO HAVE A COURSE SEQUENCE
NUMBER ASSIGNED AND HAVE THE STUDENT REGISTERED.
_________________________
_________________________
_________________________
Course Created
Sequence Number
Student Enrolled
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