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Customized Independent Study

About the Work Plan Proposal |
| Also see "CIS Work Plan Proposal Tips" |
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| Components of the Work Plan Proposal |
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| I. BACKGROUND INFORMATION: |
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Your name, address, phone numbers, year-round email address, and social security number
A suggested course title, the number of credits, 400 or 500 level, and discipline School District name, grade level you teach (or area of interest)
The name of your faculty advisor. |
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| II. COURSE DESCRIPTION: |
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A 2-3 sentence description of your project. |
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| III. GENERAL GOALS: |
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A list of 4-6 learning goals for your course. |
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| PLEASE NOTE |
| These next 3 areas will be covered in the phone consultation with your faculty advisor: |
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| IV. DETAILS OF LEARNING PLAN: |
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| A. |
Information Acquisition: Describe the various sources of information to be used. Write up results.
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| B. |
Learning Application:
Create a product of your learning focused on implementation with students.
NOTE: This is to include a 500 level project, if appropriate.
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| C. |
Self-Reflection Paper
Summarize your reflections on your learning after completing the course.
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| D. |
Integration Paper:
Write a 2-3 page Integration Paper responding to five required statements. See these in any of the samples.
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| Additional Required Components |
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| V. |
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List of assignments to be submitted to your advisor to complete your course.
Include specifics such as the number of pages or the number of lesson plans, and target dates, which may be adjusted with your advisor. |
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| VI. |
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A good faith estimate of projected hours to complete each component of your work plan proposal. This is to include 5 hours for preparing the Work Plan Proposal and 3 hours for completion of the Self-Reflection & Integration Paper. The total number of estimated hours will be used to determine the number of credits to be awarded. Divide the total by 30 to determine a 2, 3 or 5 credit course. |
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| VII. |
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A statement confirming that you have not previously received university credit (or professional development credit such as clock hours, which can be substituted for university credit) for the work you are undertaking in this work plan proposal. |
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