TEXAS WOMAN’S UNIVERSITY APPLICATION FOR GRADUATE ASSISTANTSHIP (To be completed and returned to the head of the department in which assistantship is sought.) NOTE: Admission to the Graduate School must precede appointment to a graduate assistantship. Today’s DATE: Number of semesters you have held an assistantship previously?: Semesters in which appointment is desired (check all semesters that apply): □ Summer ’12 □ Fall ‘12 □ Spring 2013 Name ID Number Current mailing address (street/no.) (city/state) Date of Birth (zip code) (telephone) Email Address Resident of the State of Texas? Yes No If not, do you qualify for in-state tuition? Yes No (Non-residents must be teaching or working on research one-half time in their field of study to qualify for in-state tuition rates.) Date admitted to TWU Graduate School Degree Major Natives of Non-English Speaking Foreign Countries: TOEFL Score (Or list below U.S. college or university from which you graduated.) TSE Score Colleges or Universities attended: Name City/State Dates Attended Degree(s) Earned Professional Experience: Position Held Place Date Professional References: Name Title Address Telephone Number Description of desired work assignment. Please be as specific as possible, including the names of courses you wish to teach, and are qualified to teach: Select the times during the week when you would NOT be available to work Monday Tuesday Wednesday Thursday Friday 8:00-9:30 am 9:30-10:50 am 11:00-12:20 pm 1:00-2:20 pm 2:30-3:50 pm 4:00-5:20 pm 6:00-9:00 pm For additional information, contact: The Graduate School Texas Woman's University P. O. Box 425649 Denton, TX 76204 Telephone: 940-898-3402 FAX: 940-898-3412 E-Mail: gradschool@mail.twu.edu In accordance with Leg. HB 1922, an individual is entitled to: request to be informed about the information collected about them; receive and review their information; and correct any incorrect information. Disclosure of your social security number is required in order to match the applicant’s identity with university records at Texas Woman’s University. Your social security number will be used as a unique number to identify you. Any further disclosure of your social security number will be governed by the Public Information Act (Chapter 552 of the Texas Government Code).