ICON Winter 2018 Registration
Part 1 will be filled out by student; Part 2 will be filled out by Supervisor
Student Information
If you are signing up for ICON, you need to

1. Identify a 3rd or 4th year independent study course available to you, and a faculty member who will act as your supervisor.
2. With your supervisor, fill out the necessary university paperwork (i.e. course waiver form) to register in the course you've selected.
3. When both you and your supervisor have signed the necessary paperwork, return it to the Registrar's Office on the 3rd floor of the UC.
4. Once that is complete, you and your supervisor should fill out the this form.

This will complete your registration for the winter 2018 ICON class.

Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Email Address *
Your answer
Student's Major *
Your answer
Student's College *
Student's Minor or Area of Application
Your answer
Student's Independent Study Course *
Your answer
Course Weighting *
Supervisor's Name *
Your answer
Supervisor's Email Address *
Your answer
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