SUMMER SESSION
Request for Teaching
Associate (Associate In)
to Teach an UpperDivision Course
Exception Request Checklist
Student Name: Click here to enter text.
Student ID: Click here to enter text.
Student approved previously:
Meets all TA requirements:
Passed English Proficiency exams
Department: Click here to enter text.
yes
no If yes, list quarter and year: Click here to enter text.
Last 3 Qtr GPA:
Click here to enter text.
# of TA quarters previously taught:
Click here to enter text.
Curriculum Vitae (please attach)
Graduate Program student is enrolled in Click here to enter text.
Request signed by Home Dept. Chair/Head or Graduate Advisor &
Hiring Dept. Chair/Head or Graduate Advisor, if different
Approval of the Hiring Department Associate Dean
Name of course to be taught: Click here to enter text.
Date student advanced to candidacy: Click here to enter text.
Teaching evaluations or summary (please attach 3 most recent evaluations)
Transcripts (please attach)
Qualifications:
Master's Degree or equivalent training
At least one year of teaching experience (such as a Teaching
Assistant) within or outside the University
Appropriateness to teach course
Within normative time-to-degree
Address need to assign the course to a Teaching Associate (Associate In)
instead of a regular instructional title faculty member
Department Contact: Click here to enter text.
Graduate Division Staff Recommendation:
Extension: Click here to enter text.
Approve
Not Approve
Exceptions Processing Procedures after Approval (for Grad Division use only):
Record info in exception log
Email Summer Session/Academic Senate upon approval
and send original documents to Academic Senate
Scan exception into student
Make copies
File copies in binder
Rev 01/16 mrc