Graduate Assistantship Appointment Form
This form must initiate with the supervisor, dean or his/her designee of the college offering the
graduate program in which the student is enrolled.

The supervisor, dean or his/her designee will explain the requirements for eligibility,
workload, and stipend payments.
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The dean or his/her designee must indicate the semester for which the assistantship is
applicable, the amount of the stipend and the budget from which it is to be drawn.
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The dean or his or her designee will send the form to and forward the request to the
Graduate School Director.
The Graduate School Director will review the request to ensure compliance with the policy before
forwarding to enrollment services.
The registrar and enrollment services personnel will verify eligibility of the student to enroll in a
graduate program and will assess tuition at the reduced rate and apply the mandated student
insurance.
The registrar will send the form to the human resources department so the student will be placed on
the payroll for stipend payments.
All sections of this form are to be completed and filed with the appropriate departments by the end of
the early registration period for the semester the student is seeking approval.
Graduate Assistants must be fully admitted to a graduate degree program in regular status and earn
credit for a minimum of nine (9) graduate semester hours for full waiver or minimum of six (6) graduate
semester hours for partial waiver for each term the assistantship is held. (Graduate assistantships
during the summer term will require enrollment for a minimum of six (6) graduate semester hours for a
full waiver.)
A Graduate Assistantship Appointment form must be completed for each semester an assistantship is
requested.
The following student has been granted approval for a graduate assistantship as stipulated.
Student’s Name ______________________________
Student ID Number ________________
Student Major Field of Study:_______________________________________________________
Employment Area: ________________________________________________________________
Duties: __________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Type of Graduate Assistantship: (check one or more; see policy for definition):
Research (GRA) ____ Teaching (GTAA) ____
Teaching (GTAB-requires BOR approval) ___
Program (GPA) ____ Graduate Student Assistant (GSA) ____
Semester for which the Assistantship is applicable: ____________________
Year: ______________
Amount of Stipend: _______________ Budget Account Number: _______________________________
Number of hours, the GA is expected to work: _______________________________________________
Tuition Waiver:
Full Waiver - requires at least 25% FTE (10-19 work hours per week and full-time graduate enrollment) _____
Partial Waiver - requires 12.5% FTE (5-10 work hours per week and at least part-time enrollment) _________
Signature of Graduate Assistant Supervisor ________________________
Date ___________
Signature of Chairperson of Employing Department___________________
Date ___________
Signature of Dean or Designee ___________________________________
Date ___________
Signature of Graduate Director of GA’s Discipline ___________________
Date ___________
I accept this graduate assistantship and understand the terms described above to include eligibility, reduction
in tuition rate and mandatory health insurance requirements.
Signature of Graduate Assistant ______________________________
Date ___________
The above student is eligible for enrollment in a graduate degree program at Columbus State University and
has been assessed at the reduced rate for the term stipulated and mandatory health insurance has been
applied.
Signature of Graduate School Director or Designee __________________
Date _________
Signature of Registrar or Designee ________________________________
Date _________
Signature of Human Resources Director or Designee _________________
Date _________