Independent Readings Contract

Fill out the form below. Use the back or additional sheets as necessary:

Student Name: ____________________________________	SSN: _______________________

Address: _________________________________________ Home Phone: _________________

___________________________________________ Office Phone: _________________

___________________________________ Email Address: _______________________

Course Enrolled in: _____________________ Semester _____________ Credits ___________

List of Readings that will make up the independent portion of the project: (Use separate sheet if necessary):

How many meetings (if any) will you and the instructor have to discuss the readings? How will dates and times be arranged (or list dates and times)?

Evaluating the Project

Explain your educational goals for this project. Be specific. What makes you think these readings are important to you? What understandings do you expect to supplement?

Describe the project(s) on which the grade for the course will be based. Include appropriate due dates.

Agreements

The undersigned agree to the above:

(Student)	(Instructor)