Graduate Student Assistantship Application

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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).
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