Independent Study Agreement Form

Independent Study Agreement Form — Form Fields

This education template includes 12 fields. Submit a formal agreement for a student-faculty independent study course arrangement. Free to customize and use on ZenBuild.

• Student Name (text, required)
• Student Email (email, required)
• Student ID (text, required)
• Academic Level (dropdown selection, required) — options: Undergraduate, Graduate
• Faculty Supervisor Name (text, required)
• Faculty Supervisor Email (email, required)
• Proposed Course Title (text, required)
• Credit Hours (number, required)
• Term / Semester (text, required)
• Description of Work to Be Completed (long text, required)
• Evaluation Method and Grading Criteria (long text, required)
• Meeting Frequency (e.g., biweekly) (text, required)