Assistantship Application

Contact Information

For which semester are you applying?
Name:
TUID:
Home Phone Number:
Work Phone Number:
Email:
Address:
City:
State:
Zip:

Eligibility Information

Current Program:
Level:	Master Doctoral
Year/Semester first enrolled:	/
Current GPA:

Assistantship Desired

Please select your first, second, and third choices.

First Choice:
Second Choice:
Third Choice:

Relevant skills/experience

List any courses previously taught if applying for a TA, including certification and licenses. Also include any skills/experience with technology or research and data analysis.

Experience

References

Please list name, address, and phone numbers or email of previous employers, etc.

First Reference:
Second Reference:
Third Reference:

Resume

Please upload a copy of your resume (PDF or Word format only).
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Please review the above information and make sure it is correct. Then submit this application.

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