Application for Graduate Assistantship/Scholarship Award Date Submitted: Application Type: Graduate Assistantship Scholarship Award (Please see Part I below, if selected.) (Please see Part II below, if selected.) Name: Banner I.D.: Email: Phone: Cell Phone: Local Address: Mailing Address: GPA and School (if not SLU): GPA: School: Degree Sought and Program: Degree Sought: Program: Part I. Graduate Assistantship Application Completed by students applying for a Graduate Assistantship, as indicated above in Application Type. 1. Research Interests: Please briefly describe your academic and research interests 2. Professional Interests: Please briefly describe your professional interests as they relate to this position. 3. Specific Position Requests: Faculty Supervisor/Project/Course/Clinic (optional) 4. Grant Project and Principal Investigator: (grant-funded Graduate Assistantship only) 5. Additional Comments: Please add anything else you would like considered for possible GA selection. 6. Skills and Experience: Please rate your skill level in the following areas. (Optionally, you may also briefly highlight specific academic or professional achievements or experience you have had in the following skill areas that you feel are particularly relevant.) Skill Levels: 4 = Advanced 3 = Good Skills Proofreading/Editing Writing (e.g., publications, reports, written communication) Grant Writing/Research Proposals Library Research Literature Reviews Survey Development Data Entry/Record Maintenance Statistical Software (e.g. SPSS) Microsoft Excel Microsoft Word Microsoft Powerpoint Website Development/Maintenance Instructional Multimedia Teaching (i.e, as Primary Instructor) Teaching Skills (e.g., leading group discussions, etc.) Event Planning/Coordination Other (optional): Other (optional): 2 = Average Rating 1 = Minimal 0 =None Experience Highlights (optional) Part II. Scholarship Award Application Completed by students applying for a Scholarship Award, as indicated above in Application Type. 1. COMMUNITY SERVICE AND LEADERSHIP: Please describe your demonstrated community service and leadership (e.g., community volunteering, Jesuit Volunteer Corps, Peace Corps, service trips or projects, leadership awards, etc.) 2. ADADEMIC EXCELLENCE: Please describe your academic credentials and/or school related activities that demonstrate academic excellence and a commitment to learning (e.g., class rank, honor societies, Dean’s list, academic awards, etc.) Submission Instructions 1. Please complete application form and email to mft@slu.edu . Subject line: Application for Assistantship followed by your Name. 2. If you cannot email your application, you may mail it to: MFT Program Attn: Admission Committee Saint Louis University 3500 Lindell Blvd., FTZ 010 St. Louis, MO 63103