Contract Course Proposal Form
Deadline: End of 2nd week of class

Student Information

Last Name:__________________ First Name:__________________

Student ID:__________________

Local Address:__________________________________

City:__________________ Zip:__________________

Phone:__________________ E-Mail:__________________

Professor Information

Last Name:__________________ First Name:__________________

Title:__________________ Department :__________________

Campus Address:________________________________

Phone:__________________ E-Mail:__________________

Course Information

Dept Abbr.:__________________ Course No. :__________________

Title:__________________ Credits:__________________

Semester:__________________ Year:__________________

Description of the Contract Course Plan of Study.
This entire section must be completed prior to review of this plan by the Honors Director.

Specific Topic of the contract:_____________________________

Tangible Evidence of additional work will be presented in the form of
(check one).

Contract Description (e.g. weekly assignments, reading list, length of written work).

Specify how your contract will be different from regular course requirements.

 
Student Signature:__________________ Date:___/___/_____

Professor Signature:__________________ Date:___/___/_____

------------------ HONORS USE ONLY ---------------------

Director:
Signature:__________________ Date:__________________

If you have questions or need more information call the Honors Director at 
extension 68391 or e-mail Honors at honors@hawaii.edu.

Because signatures are required this is NOT AN INTERACTIVE FORM. 
Print, complete, and submit to Honors at Sinclair 504.