OYSTER RIVER COOERATIVE SCHOOL DISTRICT

OYSTER RIVER HIGH SCHOOL

DURHAM, NEW HAMPSHIRE

Oyster River High School offers students the opportunity to earn credit on an independent study basis for projects and study topics which are not already offered in the school curriculum. A student might pursue independent study in a certain academic area (i.e poetry) with a faculty member, or might work with the supervision of a sponsor in a career-related internship (i.e. job training in prospective career field).

Students contemplating an independent study are advised to talk with an appropriate counselor or faculty member about their ideas, and then to apply (through this form) for independent study approval. Generally an independent study will last for one semester, will enable the student to earn 1/4 or 1/2 credit, and will be graded on a Pass/Fail basis. Goals and objectives as well as evaluation methods must be specified, and applications must be submitted prior to the time the project is undertaken. Retroactive independent study credit will not be awarded. Credit will not be awarded if the student does not complete the project.

Samples of independent study applications and general information about the program are available in the guidance office.

NAME________________________________________________________________GRADE_____ DATE_____________________

ADDRESS__________________________________________________________________________PHONE__________________

PROPOSED TITLE OF PROJECT_______________________________________________________PROPOSED CR ___________

WHAT ARE YOUR GOALS?___________________________________________________________________________________

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WHAT SPECIFIC PROJECTS/ACTIVITIES WILL YOU UNDERTAKE_________________________________________________

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WHAT EVIDENCE WILL YOU PROVIDE AT THE COMPLETION OF YOUR PROJECT TO SHOW THAT YOUR OBJECTIVESHAVE BEEN MET? ______________________________________________________________________________________________________

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WHEN WILL YOU COMPLETE ALL OF YOUR REQUIREMENTS?___________________________________________________

WHO WILL SERVE AS YOUR EVALUATOR/SPONSOR AT YOUR WORK SITE (IF APPROPRIATE)?

NAME_______________________________________________________ TITLE_________________________________________

ADDRESS__________________________________________________________________________PHONE__________________

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STUDENT SIGNATURE DATE PARENT/GUARDIAN DATE

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ORHS SPONSOR (Person Determining Grade) DATE ASST. PRINCIPAL DATE