Learning Contract for Independent Study

Please select the course for which you are applying:

Econ 269 (prerequisite Econ 101 & Econ 102)
Econ 369 (prerequisite Econ 101 & Econ 102, and Econ 271 or 272)

(due no later than the end of the third week of the academic semester)

Section A. Student Information:

Name:
Street:
City: State: Zip Code:
Telephone No.
Student E-mail:

1. Describe the academic component of the independent study.

2. Objectives for learning experience
(Objectives may be related to personal growth, academic requirements or career plans):

3. Describe the role of the University of Richmond faculty advisor in rating student's
performance (Include number and details of faculty/student meetings):

Section B. Employer Information (if applicable):

4. Organization Name:
Street:
City: State: Zip Code:
Telephone No.

5. Description of site:

6. On-Site Supervisor:

7. Student's duties and responsibilities on site:

8. Student's work schedule (Hours each day; days/week; and length of total experience):

Section C:

Deadline for Completion/Due Date:
Semester Academic Credit to be received: hours
(No more than 3 hours may be applied toward degree requirements.)

CRN (to be assigned)
Course Title: IS:

Signatures:

Student _____________________________________________________________

Student ID No.

Economics Department Chair_____________________________________________

Economics Department Faculty Advisor _____________________________________

Print, sign and mail (or deliver) completed form to:
Administrative Assistant
Department of Economics
Robins School of Business, Room 214
University of Richmond, VA 23173