This section to be completed by CGS Citz: YP / I (VISA ____ ) GPA: Y / N Resd: 1 / L Admt: _____ PrevTerm: _____ CGS Contract Number C O L L E G E O F G R A D UA T E S T U D I E S APPLICATION SUMMARY FOR RESEARCH/TEACHING GRADUATE ASSISTANTS A completed form must accompany EACH Personnel Appointment Form (PAF) submitted to hire or rehire a graduate assistant. Incomplete Application Packets will be returned to department of hire. DEPARTMENT OF HIRE INFORMATION: Department: Contact Person: Email: Phone: Box # GRADUATE ASSISTANT INFORMATION: Banner ID Name New Hire (W4, I‐9, Direct Deposit forms are required. A copy of the Social Security Card must be attached to the W4) Rehire (W4, I‐9 or Direct Deposit forms NOT required if information on file is current and still correct) ASSISTANTSHIP TYPE: ASSISTANTSHIP LEVEL: Research GAs requires justification approval from Provost attached to hiring packet if assistantship is paid by CGS. Do not use this form for administrative assistants. ❒ Master Level: 9‐Month General ❒ Research (position number will end with 940) ❒ Master Level: 9‐Month Science ❒ Teaching (position number will end with 950) ❒ Master Level: 12Month General ❒ Master Level: 12‐Month Science FULL/PART ASSISTANTSHIP: ❒ Doctoral Level: 12‐Month General ❒ 100% ‐ 20 Hour ❒ Doctoral Level: 12‐Month Science ❒ 50% ‐ 10 Hour ❒ Other ❒ Other FUNDING SOURCE: ❒ College of Graduate Studies (Assistantships filling lines ❒ Department/College (paid by dept/college funds) allocated by Graduate Studies) ❒ Other ❒ External (Grant, Contract, etc.) I CERTIFY THE ABOVE INFORMATION IS CORRECT: Authorized Signatory Date A Tennessee Board of Regents Institution
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