Proposed Focus Area for ChemFlex – MIT Department of Chemistry

Name *

Anticipated Graduation Term *

Advisor *

Name of Elective Focus *

Subjects for your Elective Focus *

Please list the proposed subjects for your Elective Focus and include the subject number, title, and number of units. Subjects must be taken for a letter grade. A minimum of 36 units is required and the subjects should form an intellectually coherent unit.

Rationale *

Please provide the following information about your proposed Elective Focus (Maximum of 200 words): 1. Describe why you chose these subjects and detail how these subjects fit together as your elective focus. 2. Rationale for combining this elective focus with chemistry.

Please list your planned elective lab subjects *

Please note that you may not count a subject towards both your elective focus and restricted lecture subjects.

Please List your planned elective lecture subjects *

Please note that you may not count a subject towards both your elective focus and restricted lecture subjects.

Please list your 2 CI-M subjects *

Do you plan to request approval for a lab subject outside the Chemistry Department? *

YesYes

No

If yes, please provide the following information: the subject number and units for your proposed Lab subject along with your proposed Restricted Elective subjects. Include an explanation that addresses how this lab class fits in with your Restricted Lecture subjects and Elective Focus.

Are you currently a double major or do you plan to add a double major? *

YesYes

No

Not sure yet

If yes, please provide the following information: list the second major and indicate if it has already been approved by CoC. As a reminder, no more than three subjects for the degree may be counted toward a major in another subject. If you plan to double-count any subjects, please list them.

Are you currently pursuing a minor or do you plan to add a minor? *

YesYes

No

Not sure yet

If yes, please provide the following information: list the minor(s) and state if they have been approved by the other department. As a reminder, no more than two subjects for the degree may be counted toward a minor in another subject. If you plan to double-count any subjects, please list them.

What is your HASS Concentration? As a reminder, the subjects in your HASS Concentration cannot be used as part of your Elective Focus. *

Are any of your proposed subjects at another institution (Harvard, Wellesley, etc.)? *

Yes

No

If applicable, please submit a syllabus for any proposed non-MIT subject(s)

Maximum upload size: 2.1MB

Are you completing any other programs at MIT (ex., Teacher Education Program) *

YesYes

No

If yes, please list the program(s)