Independent Study Form Submission

Name (required)

Email (required)

Phone Number (required)




Postal Code


Beginning Date

End Date (Independent Study must be completed within 12 months)

1. What do you want to do? Describe the activity you are proposing. (Ex: I would like to know more about the process of translation from a linguistic point of view. Several books on translation have been recommended. I would like to read them and apply them to my work.)

The purpose of this Independent Study is to:

2. What are my specific goals? Keep your goals measurable, observable, tangible! (Ex: "I will compare the problems and techniques of spoken language interpreters to those I have experienced.")

My specific goals are:

3. How will I show my sponsor what I learned? Describe your evaluation process. (Ex: I will write a 1-2 page report comparing spoken and signed translation work.)

The sponsor will be shown what was learned by:

4. How many CEUs am I proposing and why? Remember, in an educational setting, 10 contact hours = 1 CEU. Non-traditional activities should follow a different ratio. A maximum of 2.0 CEUs can be earned for each project. (Larger projects may be broken into components and each component filed as a separate independent study project earning up to 2.0 CEUs each.)