Form: Ind. Study-1 _

Independent Study
Osaka University Short-term Student Exchange Program (OUSSEP)

Every student who is applying for admission to OUSSEP must complete this form and attach it to the application form. Please, typewrite or print.

Semester of Admission to OUSSEP: [_]Fall of 1999 or [_]Spring of 2000
Name: _________________________________________________________
Home Institution: _________________________________________________

Are you going to take the Independent Study Course? [_]Yes. [_]No.

If yes, do you have any particular professor of Osaka University under whom you would like to conduct your Independent Study? [_]Yes. [_]No.

If yes, give the professor's name and the Faculty which he/she belongs to.

The professor's name: __________________________________________
Faculty (or Institute): ___________________________________________

If no, do you have any particular Faculty (or Institute) of Osaka University at which you would like to do your Independent Study, though you do not know any particular professor there? [_]Yes. [_]No.

If yes, give the name of the Faculty (or Institute).

Faculty (or Institute): ___________________________________________

Do you classify your proposed Independent Study as Individual Study or Independent Research? (Refer to the "Guide to Independent Study" for their definitions.)