ONLINE REGISTRAR FORM

Independent Study Form

Complete this form to request approval to enroll in a course as an Independent Study. Fields marked * are required.

Independent Study Information

Independent Study allows students to enroll in courses under the supervision of the instructor.
Students must receive approval from the instructor teaching the course, the advisor and the Academic Dean.
Courses on the academic schedule will not be considered for Independent Study.
Once approval is granted, students MUST register for the course as a regular course and pay the tuition and fees associated with the course.

Important: This form must accompany your Advisement Form.

Student Information

Student Name * Student Number * Email Address * Address * Programme * Major *

Phone Contacts

Home Telephone Mobile Telephone * Other Telephone

Course Information

Semester *

Fall Spring Summer

Course Code * Course Title *

Reminder: Courses that are currently available on the academic schedule will not be considered for Independent Study.

Student Acknowledgement

Student Signature / Typed Full Name * Date *

Instructor's Information

Your signature indicates that you have granted approval for the above student to enroll in this course as an Independent Study.

It confirms that you will work one-on-one with the student to provide all assignments and coursework in line with the course outline provided for the course.

Instructor's Name Instructor Signature / Typed Full Name

Required Signatures

Advisor's Signature / Typed Full Name Advisor Date Academic Dean's Signature / Typed Full Name Academic Dean Date

Approval Process

This Independent Study request requires approval from:

1. The Instructor teaching the course
2. The Student's Advisor
3. The Academic Dean

Submission of this online form does not mean that the Independent Study request has been approved.

Secure Online Submission: Your Independent Study Form will be submitted electronically to the BAMSI Office of the Registrar.