Independent study is defined as "a form of study intiated by the student for the purpose of expanding knowledge and/or skill in a particular area of interest." Please complete this form and submit it prior to the date you plan to begin Independent Study.

Today's Date:        

Name:        

Address:


Telephone:       

E-mail Address:     


Title of Independent Study:     


Competencies that this Independent Study addresses:



Procedures to be followed:



Means of Evaluation:



Resources to be Used:








This form is being sent to Rebecca Patton at the Arrowhead Library System for consideration by the Certification Oversight Committee. You will be contacted after the Certification Oversight Committee has reviewed your application.


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