ࡱ> 574[ Vbjbjmm H$bbV 88,b.$F RpIkDR20b a  3b 8B z:  INTERDISCIPLINARY & SPECIAL STUDIES OFFICE TUTORIAL APPLICATION - UNDERGRADUATE CREDIT ONLY ONE TUTORIAL PER SEMESTER SPONSORS & DEPT. CHAIRPERSONS SIGNATURE REQUIRED STUDENTS NAME _______________________ STUDENT ID # (Print) Last First Initial TELEPHONE # ADDRESS __________ ZIP SEMESTER___________20___ __________________________________________ In my judgment the student named above meets the qualifications and background needed to complete the tutorial successfully. Please print, as well as sign, your name. INSTRUCTORS NAME: _____________________________SIGNATURE DEPT. CHAIRPERSONS SIGNATURE: _______________________________________________________________________________________________ SPST (196, 296, 396)* CREDITS (1, 2, 3, 4)__ SECTION # / CLASS # (for office use only): ________________ Circle one Circle one *196 is appropriate for students with fewer than 30 credits, or for courses equivalent to a 100 level course. 296 is appropriate for students with up to 60 credits, and/or for courses equivalent to a 200 level course. For more advanced 396 courses, instructor must submit a syllabus with this form. TITLE TO APPEAR ON TRANSCRIPT: ____________________________________________________________ (Maximum of 17 characters) FULL TUTORIAL TITLE _____________________________________________________________________________________________________ CONCISE SUMMARY OF PROJECT: (Indicate clearly the nature of the project and work to be submitted for final grade.): STUDENTS MAJOR ____________________CREDITS COMPLETED IN MAJOR _________________ TOTAL QC CREDITS COMPLETED: ________ TOTAL NUMBER OF TUTORIAL CREDITS COMPLETED BY STUDENT: _________ ________ DATE: __________________ STUDENTS SIGNATURE_______________________________________ ___________ Note: This completed tutorial application card must be returned to the Special Studies Office (Kiely Hall-Room 1105), or scanned to  HYPERLINK "mailto:Natashia.Rhodes@qc.cuny.edu" Natashia.Rhodes@qc.cuny.edu. Registration will be done by this office. Students must be registered for the tutorial during the scheduled registration period. 4_`a% &   $ & , E U Y \ ] { | ʻ١١z١ hO%5 hO%5>* he,5 hE5 h-5 hAd5 hAd5>* hY@5>* hY@5hY@hOb5>*CJaJhY@h4i5>*CJ\aJhY@hOb5>*CJ\aJhY@hOb5>* h2`5hY@h4i5hY@hOb5h2`hOb-_`&  - r q   CD :d]^gdAdd]^gd@ d]^d dgd4i d  [ _ q r E o p w   ' , - J T BCDHITX]_`ow緭稣稜狄}xnh2`hOb5>* h2`5 h2`5>* hAd5>* hO%5>*h@hOb5>* h@5>* hO%5 h@5h]h4i5>*hY@h4i5hY@hY@5h@5>*\hY@hOb5>*\ho5>*\ hAd5hY@hOb5hY@hOb5>* he,5>**  \|9:;XYZºత|w|pi|d|__ hi|5 he,5 hO%5>* hAd5>* hO%5hY@hOb5hi|hAd5h@hO%hAdhY@hOb5CJaJhY@h4i5CJaJ hY@5 hAd5hY@h4i5hAdhAd5CJaJhY@hOb5>*h2`h2`5 h2`5 h2`5>*h2`hOb5>*h2`h4i5>*#:;-.jklVd]^gdLd]^gd_?d]^gdi|$d]^a$gdO% d]^!'(,-.4<~ 08UW`akr˼ˬˬxssihO%hPK>5>* h5 h5>* h@5>* h@5 h5E5hh_?5hO%h_?5>*hO%h5>*hh5h2`h h_?5 h`OE5 hO%5 h2`5 h^5hhi|5 h*hO%hNiB5>*hO%hi|5>*) WUVǿǿhoeh@0Jjh@Uh@ h2`h2`h2`hO%he,>* hO%>*hO%h_?>*hO%h5>* h5 hPK>5F0P&P1F0:pAd= /!"#$% Dps2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH L`L Normal1$7$8$H$CJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List <& < Footnote ReferenceHH r Balloon TextCJOJQJ^JaJN/N rBalloon Text CharCJOJQJ^JaJ6U`!6 @ Hyperlink >*B*phcPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< V !$ V :V  V X8@0(  B S  ?TYX wD|   X 33333aEo{{'JBCCTTXY  z|XY! - .  U ` a a i k p r  s X aEo{{'JBCCTTXY  z|XY! - .  U ` a a i k p r  s X ,+L!AdO%e,C-=<#=PK>: ?@ABLRoot Entry Fp5381Table WordDocumentH$SummaryInformation(DocumentSummaryInformation8,CompObjrMsoDataStorep53p53GE50UGJJHWOA==2 p53p53   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89qDocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. displayName="Title"/> This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. ns:ds="http://schemas.openxmlformats.org/officeDocument/2006/customXml"/>w> Oh+'0x  ( 4 @ LX`hpOCTNormalNatashia E Rhodes3Microsoft Office Word@V@@ VC@aPD Special Studies Tutorial Card