P.O. Box 1280
Jacksonville, AR 72078
501-988-5331 / 987-8257
Fax: 501-988-1571
Computer Lab: 983-0838
Office Hours:
8:30 to 5:30  Mon - Thu
8:30 to Noon  Fridays
carmenhall82@webster.edu
DoD Cooperative Degree Program

Please provide the following information:

First Name:

Last Name:

Address:

City:

State:

Zip:

Email:

Student No:

    

 

Work Ph:

    

Home Ph:

Dep't & Course No:

Term:

Spring 1 (Jan-Mar)

Spring 2 (Mar-May)

Summer (May-Jul)

Fall 1 (Aug-Oct)

Fall 2 (Oct-Dec)

Please explain your reason for needing the above course as Directed Study. Please limit your explanation to approx. 150 words.



• Students may take no more than 2 Directed Studies during their graduate program.
• Requests must be made for the term in which the campus is currently registering.
• Directed Study request will not be accepted later than 2 weeks prior to the term start date.
• Requests are subject to approval by the Director, the Office of Academic Affairs, and the Instructor. (Requests are not guaranteed.)
• Directed Studies will not be granted for electives.
• Upon receipt of your approved directed studies syllabus, it is your responsibility to contact their instructor regarding their lessons.
• For additional information check the Webster University Graduate Studies Catalog or visit our website at www.webster.edu/littlerockafb.

Student signature: (printing your full name will be accepted in lieu of a signature and constitute your desire to submit this form to request a directed study).