THOMAS COLLEGE

GRADUATE SCHOOL

SPECIAL TOPICS REQUEST

Student Name __________________________________________________________

Trimester______________________       Year _______________________________

Course No./Title ________________________________________________________

Please attach a copy of your proposal.

______________________________________________________________________

______________________________________________________________________

______________________________________                    ________________

Student's Signature                                                                 Date

=================================================================

Request Approved _____                                                       Request Denied _____

_______________________________________                  ________________

Director of Graduate and Continuing Education                   Date

=================================================================

I agree to supervise this Special Topic.

_______________________________________                  ________________

Instructor's signature                                                               Date

_______________________________________

Instructor Name

Class Created: ________ Student Registered:  __________ Contract created and sent: ________