I have read and meet the required Independent Study/Research prerequisites.
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Yes
Is your advisor aware of your intent to apply for an independent study credit
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Yes
No
Please contact your advisor to ensure the independent study meets your degree plan requirements.
Academic Advisor
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Academic Advisor's E-mail
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Today's Date
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Month
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Day
Year
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Cell or WIU Phone
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Area Code
Phone Number
Student Name
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First Name
Last Name
E-mail
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WIU ID #
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Year
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2018
2019
2020
2021
Semester
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Summer
Fall
Spring
Major/Concentration
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Human Resource Management
Management
Marketing
Supply Chain Management
Other
Academic Standing
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Junior
Senior
MBA
Other (specify)
Year of Graduation
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2019
2020
2021
2022
Semester of Graduation
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Fall
Spring
Summer
Course
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HRM 460: Human Resource Management Independent Study(3-12, repeatable to 12)
MGT 460: Management Independent Study (3-12, repeatable to 12)
MKTG 460: Marketing Independent Study (3-12, repeatable to 12)
SCM 460: Supply Chain Management Independent Study (1-12, repeatable to 12
HRM 600: Graduate Level Independent Study (3-12, repeatable to 12)
MGT 600: Graduate Level Independent Study (3-12, repeatable to 12)
MKTG 600: Graduate Level Independent Study (3-12, repeatable to 12)
SCM 600: Graduate Level Independent Study (3-12, repeatable to 12)
Supervising Instructor
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First Name
Last Name
Supervising Instructor E-mail
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Please indicate which type of course permission you are seeking
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Undergraduate Independent Study
Graduate Independent Study/Research Class
Undergraduate Independent Study Courses
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Business Law 460, 461, 462 (1-2)
Human Resource Management 460, 461, 462 (1-2)
Management 460, 461, 462 (1-2)
Marketing 460, 461, 462 (1-3)
Operations Management 460, 461, 462 (1-2)
Supply Chain Management 460, 461 (1-3)
Graduate Research Courses
Business Law 600 (1-3) (Prerequisite: graduate standing and permission of the department chairperson)
Human Resource Management 600 (1-3) (Prerequisite: completion of six graduate hours in human resource management and permission of department chairperson
Management 600 (1-3) (Prerequisite: completion of six graduate hours in management and permission of department chairperson)
Marketing 600 (1-3) (Prerequisite: completion of six graduate hours in marketing and permission of the department chairperson)
Operations Management 600 (1-3) (Prerequisite: graduate standing and permission of the department chairperson
Supply Chain Management 600 (1-3) (Prerequisite: completion of six graduate hours in supply chain management and permission of tthe department chairperson)
Briefly explain why you need to complete an independent study. (max 500 words)
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Attach any additional documentation you feel is relevant. (PDF files only).
Describe in detail your proposal for the Independent Study/Research course. In your description be sure to include information pertaining to the content, scope and preocedures you will employ in carrying out your plan of study. (A brief separate proposal may be attached to this form as an aid in justifying your projected study. (max 500 words)
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Explain how previous coursework will contribute to and be integrated into the proposed independent study.
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List the courses in your major area/concentration that you will be concurrently enrolled in while completing Independent Study/Research course.
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Have you enrolled in an Internship, Independent Study or Research course previously at WIU?
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Yes
No
If yes, please list Instructor, semester, course # and a brief description of course content.
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