Graduate Assistantship Application for Entering Students A limited number of Graduate Assistantships are available for full-time students. These assistantships provide a special tuition rate and a stipend in return for 10-20 hours of work per week under the direction of the Arnold School of Public Health faculty. Currently, to qualify for an assistantship, a student must be fully admitted to a degree program, maintain a 3.0 average, and enroll in at least six credit hours but no more than 15 credit hours. Name _______________________________________________________________________ ID _______________________ Address ___________________________________________________ Phone ( _______ ) _____________________________ ___________________________________________________ Email ______________________________________ Department ________________________________________________ Term/Year Entering 20________ Fall Degree Sought _________________________________ Spring Please list, in chronological order, all colleges and universities you have attended. College/University Degree Years of Attendance Summer I Summer II Major Minor _____________________________ ____________ _____________ ____________ _____________ _____________________________ ____________ _____________ ____________ _____________ _____________________________ ____________ _____________ ____________ _____________ Cumulative Undergraduate grade point average, on a 4 point scale ____________________________________________________ Cumulative Graduate grade point average (if applicable), on a 4 point scale _____________________________________________ _ GRE Verbal Quantitative Total Score ________ ________ ________ Percentile ________ ________ ________ GMAT Verbal Quantitative Total Score ________ ________ ________ Percentile ________ ________ ________ To make a graduate assistant assignment which best suits your work experience and skills we need additional information concerning your background. Please provide the following information concerning your skills and work experience in the seven areas listed below. 1. Computer skills: Questions 2 - 7 on next page 2. Mathematics and/or statistics: 3. Clerical: 4. Research: 5. Communications/media: 6. Clinical: 7. Is there any other information which would help us in placing you (i.e. interests, etc.)?