Independent Study Application (ESS 197)

Independent Study Application (ESS 197)
Complete

Student Information

Name

UCI ID Number

Email

Phone #

Ext:

Your Major:

Quarter of proposed field study:

Year of proposed field study:

==Placement Information==

Placement Site:

Site Address:

Site Phone Number:

Supervisor's Name :

Supervisor's Email Address:

Hours Per Week:

Number of Units Requested:

Description of Field Study Site and Duties:

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The Department of Earth System Science acknowledges our presence on the ancestral and unceded territory of the Acjachemen and Tongva peoples, who still hold strong cultural, spiritual and physical ties to this region.

Independent Study Application (ESS 197)

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