M.A. Independent Study in Political Science
Permission to enroll in PSC 791 will be given once this form is completed and all signatures are obtained. 
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Email *
Name.  *
Date.  *
NSHE #.  *
Telephone #.  *
E-mail.  *
Degree Program.  *
Admitted or Non-Admitted *
Semester & Year.  *
Credits.  *
1 credit = 60 hours
2 credits = 120 hours
3 credits = 180 hours
Hours.  *
1 credit = 60 hours
2 credits = 120 hours
3 credits = 180 hours
Please discuss with the instructor before filling out this form and provide a curriculum plan below.   *
Ex. Books to read, term papers, critiques, etc.
Please list the instructor administrating the Independent Study.  *
Student's Signature.  *
Instructor's Signature. (PSC dept. will acquire the instructor's signature)
Graduate Coordinator's Signature. (PSC dept. will acquire the graduate coordinator's signature)
A copy of your responses will be emailed to the address you provided.
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