INSTRUCTIONS: To be filled out by Faculty Member who will grade this course

TERM_________________ DATE_____________________

 

_______________________	_______________________	_______________________
Student Name	Major	Student ID Number

 

____Thesis____Part 1____Part 2____       # of credits:____0____1____2

____Independent Study How Graded?____P/F____A/F

____Independent Research

______________________Department

 

__________________________________________
Signature of Faculty Member who will grade course

__________________________________________
Please print Faculty Member's Name

 

Please check the appropriate spaces and return to the Registrar's Office