Department of Government
2013 – 2014 Checklist for Financial Aid Applications
Name:
Application for: (check all for which you want to apply)
Position/Award
Summer 13
Teaching Assistantship
Assistant Instructorship1
Macdonald/Long Summer Research Internship2
or Dissertation Fellowships (Fall, Spring)
Graduate Research Assistantship for the PPI/PAP
Fall 13
Spring 14
1Assistant
Instructors are required to have successfully completed GOV 398T and to advance to candidacy prior to their first
semester appointment.
2Macdonald or Long Dissertation Fellowships and Summer Research Internships are reserved for students who have advanced to
candidacy prior to the Fall 2013 semester.
Checklist:
Application for Departmental Financial Aid (including Program of Work)
Statement of Purpose, General
Please state your research and study plans for the next academic year, including any
courses you plan to take or dissertation ideas you intend to develop. The statement of
purpose should not exceed two, double-spaced pages.
Statement of Purpose, Macdonald/Long Fellowship or Summer Research Internship
If you are applying for the Macdonald/Long Fellowship or Summer Research Internship,
you must attach a separate, one-page statement describing your research project and plan
for using the fellowship (this is in addition to the “Statement of Purpose, General”).
Curriculum Vitae
You must attach a copy of your vita showing your educational background, research
experience, professional papers you have published, conference participation, fellowships
or awards, etc.
Financial Aid Recommendation Forms
Two recommendation forms are required unless you are applying for a fellowship or
research internship, in which case three recommendations forms are required. PhD
candidates must have a current form from their dissertation supervisor. Applicants with
job placement files may use recommendation letters from their placement files, but they
must specifically request which letter(s) can be made available to the committee
1.
2.
3.
(3rd
rec. for Fellowship applicants only)
Sample Syllabus for those applying for the Assistant Instructor position
Please submit all materials to Annette Carlile in the Government Graduate Office
NO LATER THAN 5:00 p.m., Monday, February 25.
1
Department of Government
Application for Financial Aid
2013-2014 Academic Year
Name:
E-mail:
EID:
Phone:
Address
Street
City
State
Zip
Previous degrees, school and year received:
BA:
MA:
Other:
First semester in Government Graduate Program at UT:
(semester, year)
Have you had your 2nd Year Review?
Yes
No
If yes, date of 2nd Year Review:
(semester, year)
Members of Review Committee:
1.
2.
3.
Have you taken the preliminary exams?
Yes
No
If yes, date of exams:
(semester, year)
List fields in which you took the exams and indicate for each field the result of the exam (pass
or fail).
Exam Fields
Results of Preliminary Exam
Field 1:
Pass
Fail
Field 2:
Pass
Fail
If you have not taken preliminary exams, when do you plan to take them:
(semester, year)
Have you been admitted to candidacy?
Yes
No
If yes, date:
(semester, year)
Name of dissertation supervisor?
Projected date of program completion?
2
List all the courses for which you have an “incomplete” (X) or “permanent incomplete” (I):
Course Title
Professor
Semester, Year
Expected Date of
Completion
Former and Current University Appointments
List in chronological order, from earliest to most recent, all previous and current semesters of
University appointments (AI, TA, GRA for the PPI, Grader, etc.). Summer sessions should be
listed; however, they should not be included in the total.
Type of
Appointment
Semester, Year
Course
Professor
Total number of Fall and/or Spring semesters as a TA, GRA, Grader or AI at UT:
3
Fellowship and Research Awards
List in chronological order, from earliest to most recent, all fellowship and research awards
including University Fellowships, Macdonald or Long Fellowships, Travel Fellowships,
Professional Development Awards, FLAS, SSRC, Research Grants, Private Fellowships or
Grants, etc.
Type of Award
Semester, Year
Stipend
Have you applied for any other sources of financial aid (i.e., non-University grants, fellowships,
scholarships, etc.) for the 2013-2014 academic year?
Yes
No
If yes, please complete the following:
Granting Institution/
Award Source
Type of Award
Amount of
Award
Dates of
Award
Expected
Date of
Notification
4
Government Doctoral Program of Work
(You may ask the Graduate Program Coordinator to print an electronic version to take the place
of this paper version).
List all of your course work in chronological order, from earliest to most recent, by field.
EXAM FIELD 1
Course #
Course Title
Instructor
Semester, Year
Grade
Course Title
Instructor
Semester, Year
Grade
EXAM FIELD 2
Course #
5
FOUNDATION COURSES
Course #
1. 391J
2. 382K
Course Title
Statistical Analysis in Political
Science I
Studies in Political Theory and
Philosophy
Instructor
Semester, Year
Grade
OR
2. 385N
Introduction to Formal Political
Analysis
RESEARCH SKILLS: RESEARCH METHODS OR FOREIGN LANGUAGE
Research Methods3:
Course #
Course Title
Instructor
Semester, Year
Grade
3
Students seeking to satisfy the Research Skills requirement with the Research Methods tract must petition the Graduate Adviser
for approval of the proposed coursework.
OR
Foreign Language Proficiency has been demonstrated by:4
4Students
choosing the language track must demonstrate proficiency in one language, in addition to, equal to or beyond the level
required in the second year of college coursework. Proficiency can be certified through coursework (verifiable by providing the
Government Graduate Office with a copy of the syllabus and a transcript indicating the grade if courses are not taken at UT),
exam (given through the Measurement and Evaluation Center) or letter from a UT faculty in one of the language departments
certifying that the student has reached the required skill level. Students whose native language is not English, and whose
dissertation requires the use of their native language, can petition the Graduate Adviser for satisfaction of this requirement. A
letter certifying proficiency is still required.
OPTIONAL:
Other Course work or relevant information for the committee to consider:
6
Government Department Financial Aid Competition
Fellowship Applicant’s Financial Assessment Form
(Do *not* submit this form unless you are applying for a Macdonald/Long dissertation
fellowship or a Summer Research Internship)
Applicant Information
Name:
First
Last
Estimated Financial Resources
Please estimate your financial resources for the next academic year
Income
$
Educational loans
$
Other scholarships/fellowship to be received
$
Number of dependents you have
$
Academic Debt
Please indicate if you have already received student loans to finance your education:
Undergraduate
Yes
No
Graduate
Yes
No
I certify that the financial information above is complete and accurate. I understand that should
any of this information be incomplete or inaccurate, I will be ineligible to receive a Government
Department Fellowship, and I will return all funds awarded on the basis of false or incomplete
information.
If my financial situation changes, I will promptly notify the Graduate Adviser of the Government
Department.
Signature of Student
Date
7