T NURS 499 Independent Study Instructions, Sample, and Form

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$Henry T. Schatz Math or Science Education Fellowship Application$

- 4 -____________________________________Plan Approved: Faculty Sponsor / Date____________________________________Student / DateEvaluation comments (faculty complete this section and sign):Grade Earned_______Faculty Signature_____________________________Copy to student’s file, 499 file2/1/94 S:/nursing/forms/FORM499; modified 22 Jan 2010
Committee Review Date ________T NURS 499 Independent Study Course SummaryStudent's Name Faculty Sponsor Qtr/YrCr/NC or Graded Number of Credits***********************************************************************************************************Student's objectives:Activities designed to accomplish objectives:Criteria to evaluate achievement of objectives:________________________________________________________________________Plan Approved: Faculty Sponsor / DateStudent / Date******************************************************************************************Evaluation CommentsGrade Earned_______Copy to student’s file, 499 file2/1/94 S:/nursing/forms/FORM499Faculty Signature______________________________
Page 1 and 2: - 1 -Directions for Students Comple
Page 3: - 3 -Committee Review Date ________

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