Individual Reading and Research Course Form

Individual Reading and Research Course Form
Return the completed form to the Registrar’s Office, Graduate Studies Unit, by the appropriate deadline:
- September 5 – Fall session and full year courses
- December 15 – Winter session courses
- April 15 – Summer session, 1st term courses
- June 15 – Summer session, 2nd term courses
Section 1: Student Information
Name:*

First NameLast Name
Student Number:*
Graduate Unit:*
APHD Program/Degree:*
CTL Program/Degree:*
LHAE Program/Degree:*
SJE Program/Degree:*
Phone Number:*
Please enter a valid phone number.
UofT Email:*
example@example.com
Are you requesting for a Research Course within your Home Dept/Grad Unit?*
Which Host/Other Department is offering the Research Course?*
Section 2: Course Information
Course Number APHD:*
Course Number CTL:*
Course Number LHAE*
Course Number SJE:*
Year:*
Session:*
Course Weight:*
Graduate Dept. Where Course Offered:*
Expanded Course Title:*
Shortened Course Title (max 30 characters):*
Course Description:*
Instructors's Name:*

First NameLast Name
Instructor's Email:*
example@example.com
Department:*
Bibliography Attached:*
File Upload:*

Cancelof
Do you have a Supervisor?*
Please select "No" if your Supervisor is the same as the Instructor offering the course
Supervisor's Name*

First NameLast Name
Supervisor's Email*
example@example.com
Section 3: Information Required In Support of Request

	Work Required for Course	Weight inTotal Grade(must total 100%)	Date Due
1
2
3

Frequency of Meetings:*
e.g. Weekly
Length of Each Meeting:*
Minimum contact hours: 2.5 per week.
Rationale for Requesting Reading and Research Course:*
List any Reading and/or Research course(s) previously taken in the same degree program:*
Student Signature:*

Clear
Date:

MonthDayYear
Date
Should be Empty:

Section 1: Student Information