Health and Medical Apprenticeship Program
Sponsored by the School of Public Health and the ASUC
Public Health 116 TA Applicant Info Sheet
Instructions:

Minimum Requirements: Please read the minimum requirements for the PH 116 TA position below.
Make sure you have time for this position in your schedule next semester. If you do not, please
consider applying next semester.

Application: Turn in your completed application to the envelope on the wall outside the HMAP
office (Eshelman Compound 312C, Cubicle 16) by 5 PM on Friday, November 6th, 2015. No late
applications will be accepted. Hard Copies only. You will receive a confirmation that we have
received your application the night of November 6th.
o Student Identification: Please attach a photocopy of your student ID to your application
so that we can verify your student status.

Interviews: On Thursday November 12th a list of applicants who have been offered an interview
will be posted outside of Eshelman Compound 312C Cubicle 16. If your name is on this list, please
sign up for a 30-minute interview by 5 PM Wednesday, November 18th, which will be posted next
to the list mentioned above.
o All interviews will be held on Sunday November 22nd, 9 AM – 12 PM

Results: We will post a list of selected TAs for Spring 2016 by Monday, November 23rd on the wall
outside the HMAP office and via email.
o Accepted TAs will need to attend a short meeting on Monday, November 30th, 2015
from 5:15PM – 6PM after the last PH 116 exam.
Thank you for applying to our program!
MINIMUM REQUIREMENTS
These are the minimum requirements for all PH 116 TAs. If you cannot meet these requirements for next
semester, please consider applying when you can.




Pass PH 116 lecture and discussion section
At the beginning of the semester:
o Attend the TA training retreat next semester. The retreat will be held on the weekend
immediately preceding the Spring semester (TBA). The retreat is a MANDATORY,
daylong training session. If you cannot attend, please do not apply.
Weekly:
1. Lecture: Attend all PH 116 lectures – Mondays from 4-7 pm.
2. TA Meeting: Attending all TA meetings – two hours once a week. The official time will be
confirmed during the retreat — will likely be Tuesday evenings from 6-8 pm.
3. Discussion Section: Lead a weekly one-hour discussion section on Wednesday, Thursday, or
Friday, once a week.
4. Homework: Read and comment on student homework and return in a timely manner.
5. Office Hours: Hold one weekly office hour in Eshelman Compound 312C Cubicle 16.
During the Semester:
Lesson Plan: Write one lesson plan on one lecture topic for use by all the TAs. It will include
homework, quiz, and exam questions for that week’s topic. You will lead TAs in a mock
discussion and provide a snack during that week’s TA meeting
Exams: Proctor all three PH 116 Midterms for your section. Serve on Exam Committee for one of
the midterms
Attend: ALL other MANDATORY events announced at retreat.
Health and Medical Apprenticeship Program
Sponsored by the School of Public Health and the ASUC
PUBLIC HEALTH 116 TEACHING ASSISTANT APPLICATION FORM
Please type or print neatly.
Name: _________________________________ Major: _______________________________
Year: __________________________________ Intended Graduation Date: _______________
Local Address: ___________________________ Local Phone: __________________________
_______________________________________ Cell Phone: ___________________________
Vacation Address: ________________________ Phone: _______________________________
_______________________________________ Email: ________________________________
Semester you took PH 116: ___________
Your TA’s Name: _______________________
Have you applied to be a PH 116 before? ____________ If yes, when? _____________
Can you attend the mandatory overnight retreat that will take place the week preceding the Spring 2016
Semester? ____________
Prospective academic schedule for next semester including all extracurricular activities:
Total Units (excluding this position): _______
Directions for answering questions (on a separate page/document):

ONLY put your SID on the answer pages, DO NOT put your name. (For confidential purposes)

Staple your answers to this sheet and turn them in together.

Only typed applications please. Please use Times New Roman, 12-point font, and 1-inch margins.

Please limit responses to 1-page (single-spaced) per question.
QUESTIONS:
1) Describe a specific event or period in your life that was integral to shaping the person you are
today.
2) What have you done in the past that prepares and/or qualifies you to be a PH 116 TA?
3) Why do you want to be a PH 116 TA, and what do you hope to get out of the experience?
4) What is a pressing social issue that has not received much attention that you feel is important in the
field of Public Health?
5) Describe an instance when you encountered a problem that challenged your normal problem
solving skills or methods. How did you act or think differently to come to a solution and how
did it affect you?
6) Please critique any of the following and provide possible changes that could be implemented to
increase the quality of the program:
a) lectures b) homework c) reader/quizzes d) discussion section
Health and Medical Apprenticeship Program
Sponsored by the School of Public Health and the ASUC
Thank you for applying! If you have any questions, feel free to email ph116coordinator@gmail.com or
drop by the HMAP office at Eshelman Compound 312C Cubicle 16.