MSP Independent Course Registration Student Request Form – Media Studies and Production Department Forms

This required form is intended only for those MSP majors seeking to register for an MSP independent course.

There are two types of MSP independent courses: 1.) MSP 4182 (Independent Study); 2.) MSP 4682 (Independent Projects). Depending upon the scope of the agreement/plan between the student and instructor, credit hours can range from 1-4.

Prior to submitting this form:
- Carefully review the MSP Independent Course Overview to be aware of the process & deadlines.
  (This Overview document is available via the “Forms and Links” section of the Klein tab on the TUPortal.)
- Consult with MSP faculty member selected, confirm their willingness to review proposal/supervise, & include their name on the form.
STUDENTS: After consulting with the potential MSP instructor/supervisor for the independent course, complete and submit this form to officially request approval & registration in an MSP independent course.
PART ONE: STUDENT INFORMATION & COURSE/CREDIT REQUESTS
Name*
Student First Name Student Last Name
TU Major*
Track*
Other: Please Specify Track/Concentration*
TUID (9-digit number)*
TU Email*

(Information will only be sent to the TU email.)
Term Requested*
The term for which you are registered must be the same term you complete the agreed-upon requirements for the course.
Year*
Please select only one of the course options below:
Course*
- MSP 4182 Independent Study
- MSP 4682 Independent Projects
Number of credit hours proposed*
Notes: 12 hours of instructor contact/consult is typically expected for each credit hour earned. Contact may also take place via email or phone.
Final approval of the course number and corresponding credit is determined by the instructor/supervisor and chair.
PART TWO: PROVIDE DESCRIPTION OF PROPOSED TOPIC OF STUDY/PROJECT (Include details re. space/equipment.)
*
PART THREE: RATIONALE FOR REQUESTING INDEPENDENT COURSE
These independent courses are an extension of the MSP curriculum, and are normally only approved when there is a strong rationale and need. Please provide your reasons for seeking this option and explain why you believe it cannot be pursued within regular course offerings.
*
PART FOUR: POTENTIAL INSTRUCTOR/SUPERVISOR WITH WHOM STUDENT CONSULTED
Name*
Instructor/Supervisor First Name Instructor/Supervisor Last Name
Instructor/Supervisor Email Address*
PART FIVE: STUDENT SIGNATURE
By my signature, I confirm I have reviewed the MSP Independent Course Overview, and I have already proposed my independent course plan to the potential MSP instructor/supervisor I have listed. I understand this form is submitted to allow for further review by that instructor/supervisor, to determine if the course is appropriate and if registration for the term identified is approved. If approved by both the instructor/supervisor and the MSP chairs, the MSP Office will register me (for the course number, credit, & term indicated by the instructor) and send me a confirmation email & contract. I acknowledge that it is my responsibility to stay in touch with the instructor/supervisor prior to and during the course. Finally, I understand that should I want this course to apply to any MSP major requirement (other than an elective), I must request that separately via the MSP Petition Form.
Student Signature*
Date (MM/DD/YY)*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

STUDENTS: After consulting with the potential MSP instructor/supervisor for the independent course, complete and submit this form to officially request approval & registration in an MSP independent course.

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