For Office Use ONLY
CURRICULUM & INSTRUCTION
APPLICATION FOR GRADUATE ASSISTANTSHIP
(Academic Year 2013-2014)
Course
Name:
Date:
PUID:
Phone:
Address:
Email:
Semester(s) You Are Applying for Assistantship:
Fall 2013
Percentage of Full-Time Desired:
Degree Seeking:
PhD
¼ Time
Department:
Semester
Spring 2014
½ Time
Masters
FTE
¾ Time
Teacher License
Program Area:
Status: Admitted to Graduate School
International Student
Graduate School Admission Pending
Have you been certified by the Oral English Proficiency Program?
Please rank order your preferred area of assignment and circle courses for which you are qualified to teach (refer
to descriptions of assistantships and undergraduate course catalog for more information).
Exploring Teaching as a Career (EDCI 20500)
Learning Design & Technology (EDCI 27000, 56000)
Literacy & Language (EDCI 30900, 31100, 32500, 32600, 36300, 37000)
Mathematics in the Elementary School (EDCI 36400)
Multiculturalism and Education (EDCI 28500)
Science in the Elementary School (EDCI 36500)
Social Studies in the Elementary School (EDCI 36100)
Agricultural Education
Supervised Teaching (EDCI 49600 or 49800) – Must have teaching certificate and 3 years teaching experience
Research Assistantship: List Preferred Supervisor/Project
Other University Income Sources:
Do you have any other appointments at the University?
Yes
No
If yes, please indicate:
Enclose a current resume and send to: Deb Aldridge, Department of Curriculum & Instruction,
Purdue University, Beering Hall, 100 N. University St., West Lafayette, IN 47907-2098
or deb@purdue.edu (765-494-2368)