Hsg 620 / Hsg 720 Selected Topics Courses Proposal Form

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University of Waterloo
Department of Health Studies and Gerontology
HSG 620 / HSG 720
Selected Topics Courses
Proposal Form
This form must be typed (or neatly printed) and submitted to the Faculty Graduate Coordinator for the
Health Studies and Gerontology department by the student within the first three (3) weeks of the term.
Once approved, the course will be entered on the CIR. The student is responsible for enrolling on-line.
Student's Name: ________________________________________ ID#: __________________________
Term: _____________
Instructor: _____________________________________________________
Indicate selected topic course level (i.e. 620 or 720)
_________________________________
Course Title: (maximum 30 characters)
______________________________________________________________________________
______________________________________________________________________________
Description of the Course (attach separate sheet if necessary):
Method of Evaluation:
Proposed date for submission of final report:
Approval:
______________________________________
______________________________________
Instructor
Associate Chair for Graduate Studies
Distribution:
1. Student
2. Instructor
3. Department
4. Course File

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