• 1 Current Personal Information
• 2 Skills Information
• 3 Complete

THIS APPLICATION IS FOR FACULTY AND STAFF ONLY
All fields must be completed in order to for this Graduate Assistant request to be considered.

Department Name

Department Contact

Office Location

Department Contact Phone

Email Address

Number of Hours for Assistantship

- Select -5 Hours10 Hours15 Hours20 Hours

Assistantship Starting Term

- Select -Spring 2019Summer 2019Fall 2019

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

Graduate Student's Name

Write a brief description of the available position, including duties and responsibilities.

Complete the skills section on the next page.

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