ASSISTANTSHIP AND FELLOWSHIP APPLICATION
English Graduate Office, Box 354330
University of Washington
Seattle, WA 98195-1240
Appointment to a Teaching, Research, Staff Assistantship or Fellowship is contingent upon admission of the student to the Graduate
School prior to the beginning of his/her service or award. Continuation or reinstatement of an appointment is contingent upon good
standing in the Graduate School as determined by the Dean of the Graduate School.
Assistantships ordinarily require participation on a half-time basis in teaching or research programs. Assistants are required to register each
quarter for not less then ten (10) credits applicable to their advanced degrees. Stipend levels for Graduate Student Service Appointments
are published annually, and conditions of service are set forth in publications available in the English Graduate Office and the Graduate
School.
NEED BASED FINANCIAL AIDS (Loans, Work-Study) requires a separate application which may be obtained from the Student Financial
Aid Office, 105 Schmitz Hall, Box 355880, University of WA. Students should meet application deadline even if they have not yet been
admitted to the Graduate School.
EXTERNAL FUNDING OPPORTUNITIES—these competitions require direct applications from the student. Further information on these
“external” programs may be obtained from the Graduate School, Office of Fellowships and Awards, University of Washington.
1. Name ____________________________________________________________________________________________________
(Last)
(First)
(MI)
2. This application for: Year __________
Quarter __________
3. Graduate degree program:
MA ________ PhD ________ MAT(ESOL) ________ MFA ________
Final degree goal: __________
4. Year and quarter of admission: _________________________
7. Mailing Address:
__________________________________________________________________________________________
8. Permanent Address: __________________________________________________________________________________________
9. Home Phone: ________________________________________
10. Citizenship: U.S.A.: ____
Other: _____
Cell Phone: __________________________________________
Type of Visa: ______________
11. Have you applied for or received a funding commitment for any other special grants or fellowships: _________________________
12. Are you also applying for financial support based on need through the Financial Aid Office?: ______________________________
13. Academic training (undergraduate and graduate):
Institution
Dates
Major subject
Minor subject
Degrees & Dates
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
14a. Indicate approximate undergraduate grade-point average on the following scale:
(4 = A = Excellent) (3 = B = Good) (2 = C = Average) (1 = D = Below Average) (0 = F = Failed)
Approx. Grade Average
English only
___________________
Overall GPA
___________________
14b. Graduate grade-point average (if applicable):
___________________
15. Please indicate the date and approximate score of the Graduate Record Examination (Note: Subject test not required)
Date: __________ GRE Verbal: __________ GRE Quantitative: __________ GRE Analytical: __________
Other test scores (TOEFL, IELTS, etc): ________________________________ Score: _________________
16. Professional experience (fellowships, assistantships, teaching). Use separate sheet. Include position, approximate dates, duties, and
name of supervisor.
17. Honors & Scholarships awarded: ______________________________________________________________________________
18. Foreign Languages of which you have a reading knowledge: ________________________________________________________
19. Special Skills: _____________________________________________________________________________________________
20. Publications (use separate sheet if necessary): ____________________________________________________________________
21. Present position or activity: ___________________________________________________________________________________
22. Educational and professional objectives: a personal statement of 500-750 words. (Note: Prospective applicants
may use their Statement of Purpose from their Graduate School application for this purpose.)
23. References: Instructors or professors familiar with your academic qualifications should submit references directly to the
English Graduate Office.
*Prospective Applicants may use the three letters of reference submitted for your Graduate School application.
*Current Students must submit two letters of reference from English department faculty.
Please list names of reference writers here:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Signature: _________________________________________________________________________ Date: ___________________
The University of Washington provides equal opportunity in education without regard to race, color, national origin, sex, handicap, or age
in accordance with Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Vocational
Rehabilitation Act of 1973, and the Age Discrimination Act of 1975.
COMPLETE AND RETURN THIS FORM TO:
English Graduate Office
A-105 Padelford Hall, Box 354330
University of Washington
Seattle, WA 98195
Revised 7/2010