APPLICATION FOR GRADUATE ASSISTANTSHIP
Last First Middle Maiden
Mailing Address ________________________________________________________________________
Home Telephone ______________________
Area of concentration for graduate study (major) ______________________________________________
For which degree do you expect to become a candidate?
Master’s Degree Doctoral Degree
Check the position(s) for which you wish to apply. (If you check more than one, rank in order of preference.)
Graduate teaching assistant
Graduate research assistant
Graduate (Responsibility for supervision
clinical assistant in practicum-clinical settings.)
Have you been admitted to graduate studies at WVU? No Yes Program_______________
When do you plan to begin full-time graduate study? ________________________________________
When do you expect to complete your degree requirements? _____________________________________
Would you be willing to accept assistantship or work assignment in an area other than your major area of
concentration? Please describe the kind of assignment you would prefer.
Please return this application promptly to: ___________________________________________________
College of Human Resources and Education, West Virginia University,
Room 405-A Allen Hall
Morgantown, WV 26506
List in chronological order the colleges and universities previously attended, indicating major fields and
degrees as appropriate.
Dates of Degree grade-pt.
Institution attendance received average Major
EMPLOYMENT EXPERIENCE: List relevant employment experience (begin with current or most
Supporting Test Scores: Please provide relevant test scores which may suggest your potential for graduate
Graduate Record Examination: verbal: _______ quantitative: _______ analytic writing: _______
Millers Analogy Score: ___________ SAT/ ACT Math: _________ Verbal: ________________________
National Teachers Examination Score: ______________________________________________________
Other Relevant Test Score Data: ___________________________________________________________
Achievements: List any honors, achievements, organizational memberships, or other evidence of
achievement and scholarship:
References: As references, give the names and addresses of three former professors who know about your
potential for graduate work and ask them to write directly to the address provided on the bottom of page 1,
in support of your application. It should be noted on the letter of recommendation that it is in support of a
List below the title, course number designation, and grades for all undergraduate courses. An official
transcript (not to be confused with transcript for admission to Graduate Studies) may be attached.
Number Title Credit Grade
Undergraduate grade-point average: _________________________________________________________
List below the title and course number designation, credit, and grades for all graduate courses completed to
date. An official transcript (not to be confused with the transcript required for Graduate Studies Admission)
may be attached.
Number Title Credit Grade
Grade-point average for all graduate work completed to date: ____________________________________
Date of Application ___________ _______________________________________________________
FOR OFFICE USE ONLY:
Reviewed by: _________________________________________________________________________
Recommended Action: ___________________________________________________________________