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Individual Instruction Registration Request for CLA

Individual Instruction Registration Request for CLA

CLA Individualized Instruction Registration Form 2

Students may use this form to request registration for one of the following:

  • Independent Study: individualized instruction where the class topic is chosen by the student and faculty member. Designated with 300 as the course number. The submitted instructor and advisor will be notified of the request and the instructor will need to approve the request before the Registrar's Office will process the registration.
  • Immersive Research/Creative Project: mentored research, scholarship, or creative projects beyond the traditional classroom experience in which the student defines the question and approach of the topic to be studied. Designated with 396 as the course number. The submitted instructor and advisor will be notified of the request and the instructor will need to approve the request before the Registrar's Office will process the registration. This course completes one Immersive Experience requirement.
  • Intermediate Research: students have an opportunity to explore laboratory, field, or other scholarly research under the direction of a faculty member. Designated with 296 as the course number. The submitted instructor and advisor will be notified of the request and the instructor will need to approve the request before the Registrar's Office will process the registration.

Requests should be submitted before the last day to add for a term, please note the deadlines on the Academic Calendar. Submitting a request does not constitute approval. Requests are reviewed by faculty and may be approved or denied.

Student Name
Student Name
First
Last
Requested Registration
Please note: If your desired area of study does not appear on this list, please select the "Other" field.
Select the Term and Part of Term for Registration
Please select the term in which the work will be completed.
Please select the number of credits that will be associated with the registration. A student must complete the associated number of learning hours to earn the selected number of credits. If a student is attempting to earn 3 or 4 credits in Jan Term, they must begin work prior to Jan Term in order to meet the credit hour requirement. Please ensure the Start and End dates reflect the true start date of the work.
Please select the number of credits that will be associated with the registration. A student must complete the associated number of learning hours to earn the selected number of credits. Please ensure the Start and End dates reflect the true start date of the work.
Please use only "@drew.edu" email accounts. Instructors will not receive emails at non-Drew email addresses.
Please use only "@drew.edu" email accounts. Advisors will not receive emails at non-Drew email addresses.
Please enter the title or topic of the requested registration. This will display on your transcript once the registration has been graded.
Please describe the work expected to be completed, including: readings, homework assignments, finals papers/projects, etc.
Please provide the date work will start for the requested registration.
Please provide the date work is due for the requested registration. This date should fall within the academic term and not extend past the last day of the term.
Please provide the anticipated number of times you will meet with your instructor for the requested registration.
I understand, I will be manually registered for the above request upon approval from the instructor and advisor listed on this application. If I do not want to be registered, I must contact the Registrar's Office directly to cancel this request.
I understand, I am responsible for reviewing my schedule to ensure I have enough space available for the requested registration. If the registration results in an overload of credits, I must submit a petition to the academic standing committee to approve the increase in hours for the term and understand the financial implications of the overload before I can be registered.
I understand, I am responsible for payment of fees associated with my enrollment which must be paid prior to the start of the semester. Any balance that becomes due after the semester billing (e.g. late registrations, changes to a schedule) are due immediately.
I understand, I will not be registered if I have a registration-blocking hold on my account. I will need to clear the hold then inform the Registrar's Office in order to be registered.
I understand, this request will have to be approved by the instructor on record or an associate dean. It is my responsibility to follow up with the instructor/dean upon submission of this form to ensure they reply to the email copy of this request they receive to approve or deny and "sign" their name.
Example: Jane F. Doe