G-ISC
INDEPENDENT STUDY CONTRACT
GUIDELINES FOR USING THE G-ISC FORM
This form should be used for any graded, for-credit course in which the student is doing academic work
independently, and the content and requirements of the course are not governed by a standard syllabus.
• Student and instructor should each keep a copy of the form.
• Copy of signed form should be placed in student's official file in his/her graduate program
office.
If the independent study course is to be used on a student's Program of Study to replace a specific
required course, then this form MUST be on file and in the student's official record. It should be, in
such case, transmitted to the Graduate School together with a memo from the student's Graduate
Director specifying which program requirement the Independent Study is being used for.
G-ISC
INDEPENDENT STUDY CONTRACT
Last Name:
First Name:
M.I.
Street:
City:
State:
Phone Number:
SSN#
Zip:
Email Address:
Course:
Department
Term
Prefix
Number
Suffix
Credits
Section
Schedule Code
Year
Instructor:
Phone:
Course Title:
Course Summary:
Evaluation Criteria, or papers, report, or projects required:
THE COMPLETION OF THIS FORM DOES NOT CONSTITUTE FORMAL REGISTRATION. REGISTRATION MUST BE MADE THROUGH
VIP (VIP.SC.EDU).
Endorsements:
Student's Signature:__________________________________________________________________________Date:__________
Signature of Instructor:_______________________________________________________________________ Date:__________
Signature of Student's Advisor: ________________________________________________________________Date:_________
Signature of Graduate Director /Department Chair: ________________________________________________Date: _________
Print Form
GS50 9/2007