This application is to be submitted to
the department in which you are
requesting an assistantship
Instructions on how to submit application
1. Complete the form in full
2. Save application document after
completion.
3. Find the department's email address to
the right that you want to submit your
application to.
4. Send application via email as an
attachment to the department you are
applying for an assistantship. (Note: you
have to attach document to email, it is not
automatic)
5. Indicate "Graduate Assistantship
Application" in subject line of email.
Submission of this form is a certification by
you the form is true and correct, to the
best of your knowledge.
Academic Department
Accounting
Applied Human Sciences
Art
Biology
Chemistry & Biochemistry
Comm. Sciences & Disorders
Communication Studies
Computer Science
Curriculum & Instruction
Ed Leadership & Postsec. Ed
Ed Psychology & Foundations
Environmental Programs
Geography
HPELS
HPELS (Athletic Training Division)
History
Lang & Lit. (English MA)
Lang & Lit. (TESOL/Spanish MA)
Lang & Lit. (TESOL MA)
Lang & Literatures (Spanish)
Math
Master's of Business Admin. (MBA)
Music
Physics
Psychology
Public Policy
Science Education
Social Science
Social Work
Sociology, Anthropology & Crimnlgy
Special Education
Teaching
Technology
Women's & Gender Studies
Department's email
debra.messerer@uni.edu
roberta.roberts@uni.edu
angela.kroemer@uni.edu
sandi.ingles@uni.edu
bill.harwood@uni.edu
deborah.burroughs@uni.edu
donna.uhlenhopp@uni.edu
jane.gillen@uni.edu
darnell.cole-taylor@uni.edu
marlene.shea@uni.edu
debra.jacobs@uni.edu
lori.wurtz@uni.edu
janette.mcculley@uni.edu
julee.jacobson@uni.edu
machelle.stickler@uni.edu
judith.dohlman@uni.edu
kristi.knebel@uni.edu
kristi.knebel@uni.edu
kristi.knebel@uni.edu
robinw@uni.edu
mathematics@uni.edu
nancy.hoffman@uni.edu
julia.bullard@uni.edu
beckly.adams@uni.edu
jan.cornelius@uni.edu
charlene.white@uni.edu
lori.wurtz@uni.edu
chad.christopher@uni.edu
debra.laneville@uni.edu
wayne.fauchier@uni.edu
marilyn.busch@uni.edu
tamara.powers@uni.edu
vickie.turner@uni.edu
charlene.white@uni.edu
Non-Academic Departments
Academic Advising
Admissions
Athletics
Career Services
Ctr for Multi-Cultural Education
Dean of Students
Financial Aid
Graduate College
Honors Program
International Programs
ITS-CIO's Office & Instit'l Research
Liberal Arts Core
Library
Maucker Union
Registrar
Tallgrass Prairie Center
Wellness & Rec. Services
david.marchesani@uni.edu
brandi.moormann@uni.edu
gregory.davies@uni.edu
julie.grosse@uni.edu
tabatha.cruz@uni.edu
deanofstudents@uni.edu
tim.bakula@uni.edu
susan.schwieger@uni.edu
brenda.hackenmiller@uni.edu
beccy.johnson@uni.edu
ciosoffice@uni.edu
susan.jordan@uni.edu
stephanie.marra@uni.edu
mike.bobeldyk@uni.edu
jennifer.suchan@uni.edu
daryl.smith@uni.edu
timothy.klatt@uni.edu
University of Northern Iowa
Application for Graduate Assistantship
(Must be full-time graduate student to be eligible)
UID:
Last (family) Name:
First (given) Name:
Email:
Phone:
Gender
Correspondence address March to May
Correspondence address May to August
Name of Graduate Program/Degree:
Beginning date of program:
Undergraduate GPA:
Graduate GPA:
Target completion date
Graduate hours completed
Post BA GPA:
(if applicable)
For which semester(s) is this application made:
Fall
Note: student must re-apply for each academic year
Spring
Year
Year
Are you interested in full-time (20 hrs per wk) or half-time (10 hrs per wk) assistantship?
Full
Half
List bachelor level, and higher, honors or awards received or extra-curicular activities involved in:
Provide 2 references: (name, email address and phone number)
Skills/Certificates, etc.
Computer/Software
Research
Marketing
Event Planning
2nd Language
Other
Teaching experience. (Provide location(s), subject(s) and dates of each position)
Do you hold a teaching certificate?
Yes
No
Do you plan to attend UNI full-time until your degree is earned?
If so, provide name of certificate and state issued
Yes
No
Check box if you have a non-resident spouse attending UNI. (GA spouses receive resident tuition rates)
UNI requests this information for the purpose of considering you for an Assistantship. No persons outside the University are routinely provided this
information. Release of any information is governed by Board of Regents rules and applicable state and federal statutes. Responses to all items are
required, if applicable. If you fail to provide the required information, the University may not consider your application.