EAST ASIAN STUDIES

Independent Study

Name: ___________________________________________   Date: ________________

Number of Units Requested: ____________

Course Requested: ________________________________________________________

Semester Requested: ___________________

Instructor Requested: _____________________________________________________

ACTION TAKEN:        ____ Approved        ____Denied

IF APPROVED:   Course Number:_____________ Semester _____________

Course Description: _________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

________________________________ Instructor’s Approval Signature ________________________________ Date

Recorded by Grad Secretary

9/30/99