APPLICATION FOR GRADUATE ASSISTANTSHIP

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					                  APPLICATION FOR GRADUATE ASSISTANTSHIP

Name_________________________________________________________________________________
              Last           First        Middle          Maiden

Home Address__________________________________________________________________________

Mailing Address ________________________________________________________________________
(if different)

Home Telephone ______________________

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



                                                      1
EDUCATION:
List in chronological order the colleges and universities previously attended, indicating major fields and
degrees as appropriate.

                                                                           Approx.
                           Dates of                 Degree                 grade-pt.
Institution                attendance               received                average              Major




EMPLOYMENT EXPERIENCE: List relevant employment experience (begin with current or most
recent position.)




Supporting Test Scores: Please provide relevant test scores which may suggest your potential for graduate
study

Graduate Record Examination: verbal: _______ quantitative: _______ analytic writing: _______
Total: _____

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
graduate assistantship.

______________________________________________________________________________________

______________________________________________________________________________________


                                                      2
UNDERGRADUATE COURSES:

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: _________________________________________________________




                                                     3
GRADUATE COURSES:

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 ___________        _______________________________________________________
                                                  Signature




FOR OFFICE USE ONLY:

Reviewed by: _________________________________________________________________________

Recommended Action: ___________________________________________________________________

______________________________________________________________________________________

Date: _________________________________________________________________________________




                                                     4