<p> Request for ACC 391C or 691C Registration</p><p>Part I—To Be Completed by Student</p><p>Date: ______Semester of Course: ______</p><p>Name: ______EID: ______(Last, First MI)</p><p>Degree Sought (circle): MPA PPA PhD (dept: ______)</p><p>Graduate Advisor: ______</p><p>Number of previous ACC 391C or 691C course hours counted toward degree: ______</p><p>Number of previous BA 391 or 691 course hours counted toward degree: ______</p><p>1. I request permission to enroll in ACC 391C Unique # ______Professor: ______or ACC 691C Unique # ______Professor: ______</p><p>2. Detailed explanation of course content (topic, description, research, basis of grade, etc):</p><p>(Use reverse side if necessary) ______Student Signature</p><p>Part II—To Be Completed by Instructor</p><p>3. Does the student have a “special academic need” not available in regular course of instruction? (Please Circle): Yes No 4. Is this request consistent with the policy statement on ACC 391C/691C (Independent Study)? Yes No 5. Do you recommend approval of this request? Yes No 6. Any special comments? ______</p><p>Faculty Signature--Must Be Member GSC: ______Date: ______</p><p>Part III—To Be Completed by Graduate Advisor</p><p>Approved ______Not Approved ______</p><p>Graduate Advisor Signature: ______Date: ______</p>