Cross Cultural Engagement

IDIS-290 CCE Independent Study Student Contract

Before you begin this application, make sure you have thoroughly read through either the Domestic or International requirements for CCE credit.

Contract Due Dates: This contract must be submitted and signed by the end of the 4th week of the beginning of the semester in which you are applying for CCE credit, or 3 weeks before interim if applying for interim credit.

First Name
Last Name
Complete Email address
Calvin ID#
Expected Graduation Date	(mm/yyyy)
Faculty Contact Person
Faculty Contact Dept.	--select one-- Academic Services Administration Art & Art History Biology Business Campus Ministries Centers & Institutes Chemistry & Biochemistry Classical Languages Communication Arts & Sciences Computer Science Congregational & Ministry Studies Economics Education Engineering English French Geology, Geography, & Environmental Studies Germanic & Asian Languages & Literatures History Kinesiology Mathematics & Statistics Music Nursing Philosophy Physics & Astronomy Political Science Psychology Religion Social Work Sociology Spanish International Development Studies Pre-College Programs
Faculty Contact Email
Proposed Academic Term	--select one-- Fall Interim Spring Summer
Proposed Year	--select one-- 2012 2013 2014
Number of Semester Hours (0 = Designation Only, 1 = Credit)	--select one-- 0 1
Check if the type of proposal you are submitting (check one) --select one-- Domestic International
Project Description - Provide a brief description of your proposed project and how it will help achieve the CCE objectives.
Proposed Activities - Provide a brief description of the types of activities in which you plan to participate during your independent study.
Proposed Timeline - Provide your anticipated timeframe in which to meet CCE objectives (there must be a minimum of 20 hours of personal engagement with persons of a culture significantly different that your own).
Attach your one-page racial/ethnic identity statement here. Include the following: How do you identify yourself racially/ethnically. How important is identity to you? What does it mean to be “x” in the United States? What is one thing that you appreciate about this identity? What is one thing that you would want people to know about this racial/ethnic group?
NOTE: When you submit this application, you will receive a copy of your application via email. You must print the email, sign it, have your faculty member sign it, and then send to Dawn René in the Provost Office. Your application is NOT considered complete until we have received your signed application. You will then be contacted to arrange a meeting with Dean Michelle Loyd-Paige to further discuss your project.