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APPLICATION FOR GRADUATE ASSISTANTSHIP

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APPLICATION FOR GRADUATE ASSISTANTSHIP Powered By Docstoc
					                  APPLICATION FOR GRADUATE ASSISTANTSHIP

Name_________________________________________________________________________________
              Last           First        Middle         Maiden

Ho me Address____________________________________________________________ ______________

Mailing Address __________________________________________________________ ______________
(if different)

Ho me Telephone ______________________

Telephone ____________________________

Area of concentration for graduate study (majo r) ______________________________________________

For wh ich 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
                  clin ical assistant        in pract icu m-clin ical settings.)

Have you been admitted to graduate studies at WVU?             No            Yes Program_______________


When do you plan to begin full-t ime 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 majo r area o f
concentration? Please describe the kind of assignment you would prefer.

______________________________________________________________________________________

__________________________________________________________________________________ ___

Please return this application pro mptly to: __________________________________ _________________
College of Hu man Resources and Education, West Virgin ia University,
Roo m 405-A A llen Hall
Morgantown, WV 26506



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

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




EMPLOYMENT EXPERIENCE: List relevant employ ment 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 Examinat ion Score: ______________________________________________________


Other Relevant Test Score Data: ___________________________________________________________

Achievements: List any honors, achievements, organizat ional memberships, or other evidence of
achievement and scholarship:
_________________________________________________________________________________ _____

______________________________________________________________________________________

References: As references, give the names and addresses of three former pro fessors who know about your
potential fo r 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 COURS ES :

List below the title, course number designation, and grades for all undergraduate courses. An official
transcript (not to be confused with transcript for ad mission to Graduate Studies) may be attached.

Nu mber                                Tit le                                  Cred it           Grade




Undergraduate grade-point average: _________________________________________________________




                                                      3
GRADUATE COURS ES:

List below the title and course number designation, credit, and grades for all graduate courses completed to
date. An official t ranscript (not to be confused with the transcript required for Graduate Studies Admission)
may be attached.

 Nu mber                  Title                                                     Cred it         Grade




Grade-point average for all graduate work co mpleted to date: ____________________________________

Date of Applicat ion ___________       _________________________________________ ______________
                                                  Signature




FOR OFFICE US E ONLY:

Rev iewed by: _________________________________________________________________________

Reco mmended Action: ___________________________________________________________________

______________________________________________________________________________________

Date: ___________________________________________________________________ ______________




                                                      4

				
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