Undergraduate Independent Study 199 Course Proposal Form

Creative Writing Program
Center for Programs in Contemporary Writing University of Pennsylvania
3809 Walnut Street
Philadelphia, PA 19104
Phone: 215-898-1696

Undergraduate Independent Study in Creative Writing Course Proposal Form

Instructions:

  1. Complete all fields below.

  2. Attach a 1-paragraph description of your independent study that includes how often

    the student and faculty supervisor will meet during the term.

  3. Submit this form and your course description to David Marchino in the Creative

    Writing Program office (address above) before the end of the ADD period.

  4. The independent study course title, term and faculty approval provided on this form

    will be entered into SRS (Student Registration System).

  5. Contact David Marchino at dmarchi@writing.upenn.edu with any questions.

ENGLISH 199—Study in Writing

 

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Student’s name (please print)

 

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Student email and/or phone number

 

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Student's Penn ID Number  

 

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Term (e.g. Fall 2020)

 

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Faculty supervisor’s name  (please print)

 

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Signature of Faculty Supervisor

 

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Signature of Julia Bloch, Director of Creative Writing Program