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Independent Study Form

This Independent Study Activity Plan must be approved by a RID Approved Sponsor
PRIOR to the onset of the activity.

Participant Name(Required)

RID Member #(Required)

Participant's Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

What do I want to do?(Required)

Describe the activity you are proposing. (Ex: I would like to know more about the process of translation from a linguistic point of view. Several books on translation have been recommended. I would like to read them and apply them to my work.)

What are my specific goals?(Required)

Keep your goals measurable, observable, and tangible. (Ex: “I will compare the problems and techniques of spoken language interpreters to those I have experienced.”)

How will I show my sponsor what I learned?(Required)

Describe your evaluation process. (Ex: I will write a 1-2 page report comparing spoken and signed translation work.)

How many CEUs am I proposing and why?(Required)

Remember, in an educational setting, 10 contact hours = 1 CEU. Non-traditional activities should follow a different ratio, which is outlined in the Standards & Criteria. A maximum of 2.0 CEUs can be earned for each project. (Larger projects may be broken into components and each component filed as a separate independent study project earning up to 2.0 CEUs each.)

When will this proposed project start and end?(Required)

Project must be completed within twelve months.

To which content area does this independent study apply?(Required)

Professional Studies

General Studies

I certify this information is correct.

Signature

Date Signed(Required)

Choose your payment option(Required)

Credit card

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