Department of Mathematics

University of Nebraska – Omaha

 Proposal for Independent Study

This proposal must be completed by any student wanting to enroll for independent study.

Student Name ________________________________________ Date _____________

Address _______________________________________________________________

Phone ___________________________

Number of Credit Hours ____________ Semester/Year ____________________

Supervising Faculty Member _________________________________

A. Title of Study ________________________________________________________

B. Material to be used: ( Please be specific by listing books, chapters, journals, etc.)

C. Supervising Faculty member should list below the specific requirements to be met by the student and the method of evaluation that will be used.

Signatures :

Faculty ______________________________________________ Date________________

Student______________________________________________ Date________________