Department Request for Graduate Assistant This Application is for FACULTY/STAFF ONLY All fields must be completed in order to for this Graduate Assistant request to be considered. Required Information Contact* First Name Last Name Department Name* Office Location* Contact Phone* - Area Code Phone Number E-mail Address* Number of Hours for Assistantship* Pick an Amount 5 Hours 10 Hours 15 Hours 20 Hours Assistantship Starting Term* Select Starting Term Spring 2013 Summer 2013 Fall 2013 Spring 2014 Fall 2014 Should the prospective assistant come from a specific program? (If so, please list maximum three programs.) Have you identified a graduate student for the assistantship? Yes No Enter the identified student's name First Name Last Name Write a brief description (255 characters) of the available position: (A more detailed description will be requested later) Skills Section Do not check boxes unless you require the Graduate Assistant to have a high level of knowledge in that skill. Software Skills Adobe Acrobat Microsoft Word Microsoft Excel Microsoft Publisher Microsoft Outlook Microsoft Power Point Microsoft Access Microsoft Project HTML Other Software skills Language Skills Chinese Polish French Spanish German Japanese Other Languages Other Skills Clerical Research Support Event Planning Desktop Publishing Teaching Experience Administrative Support Organizational Skills Web Development Bookkeeping Writing Communication Skills Graphic Design Statistics Additional Skills Tutoring Skills in the Following Subjects Biology Chemistry Math Business ESL Computer Science Other Subjects Submit Clear Form Should be Empty: