application for animal science - Animal Biology

Deadline: MARCH 1
Return to:
Graduate Program Assistant
Animal Science Advising Center
1202B Meyer Hall, UC Davis
One Shields Avenue
Davis, CA 95616
(for the following academic year)
APPLICATION FOR ANIMAL SCIENCE
GRADUATE TEACHING ASSISTANTSHIPS
DATE:_____________________
NAME:__________________________________________________________________________________
(Last)
(First)
(Middle)
ADDRESS:_______________________________________________________________________________
(Number and Street)
(City)
(State)
(Zip Code)
PHONE #:(____)_____________________ E-MAIL ADDRESS:____________________________________
STUDENT ID # :_____________________________________________________________________
¾ Are you currently a registered UCD graduate student?
YES_______
NO_______
OR
¾ Have you submitted an application for admission to Graduate Studies at UCD? YES_______
NO_______
¾ MAJOR (or proposed major)______________________________________________________________
¾ DEGREE (M.S., Ph.D.) program___________________________________________________________
¾ MAJOR PROFESSOR (or proposed major professor) ______________________________________
ACADEMIC PREPARATION
List all Colleges/
Universities Attended
Dates
Attended
Graduated? Degrees and
Yes/No Dates received
Location
(City/State/Country)
Major
Subjects
REFERENCES
(Request letters from at least three individuals in a position to evaluate your potential to fulfill the responsibilities of a
Teaching Assistant. Letters should be sent to the Animal Science Advising Center, see address at top of page.)
NAME
ADDRESS
To insure consideration, return this form to the Animal Science Advising Center by the March 1
deadline. All students (entering and continuing) are responsible for submitting copies of their
transcripts from all colleges attended.
Return to:
Graduate Program Assistant
Animal Science Advising Center
1202B Meyer Hall, UC Davis
One Shields Avenue
Davis, CA 95616
Deadline: MARCH 1
(for the following academic year)
¾ Quarters you are applying for support:
SUMMER _______
FALL_______ WINTER_______ SPRING_________
(for continuing students only)
¾ Continuing students: List departmental courses you feel qualified to serve as TA:
¾ Are there quarters you prefer not to be assigned as a TA? Give reasons.
¾ Please describe your previous experience and/or background that would be useful for teaching in Animal
Science. Attach additional sheets as needed.
Since the field of Animal Science includes physiological aspects of food-producing animals, many of the
laboratories in our undergraduate classes involve invasive procedures or dissections. Are you willing to fulfill
TA responsibilities for these classes? YES _____ NO _____
Please note that the Department of Animal Science typically will not provide departmental support to M.S. students
beyond their second year of graduate study or to Ph.D. students beyond their fourth year in the program (third year
if the student also completed the M.S. degree in the Department).
CERTIFICATION
I certify that all the statements made here are true, complete, and correct
to the best of my knowledge and belief, and are made in good faith.
Signature of Applicant:_________________________________ Date:_________
The University of California, in accordance with applicable Federal and State Law and University policy, does not discriminate on the basis of
race, color, national origin, religion, sex, disability, age, medical condition (cancer-related), ancestry, marital status, citizenship, sexual
orientation, or status as a Vietnam-era veteran or special disabled veteran. The University also prohibits sexual harassment. This
nondiscrimination policy covers admission, access, and treatment in University programs and activities.
Inquiries regarding the University’s student-related nondiscrimination policies may be directed to Student Judicial Affairs Director, 463
Memorial Union, (530) 752-1128.