Date: ________________ APPLICATION FOR TEACHING FELLOWSHIP 1. Name: ______________________________________________________ 2. Date Ph.D. exam in Algebra passed_________________ Date Ph.D. exam in Analysis passed _________________ Date Ph.D. exam in Applied Mathematics passed_________________ Date Ph.D. exam in Geometry/Topology passed _________________ 3. Experience: List previous TA and teaching experience at NDSU. To include more courses, add lines to the table. Course Semester Number Taught/TA’d Instructor (if you were the primary instructor, enter “self”) 4. List two references (preferably NDSU Mathematics Professors) that you feel will be of help to determine your qualifications and ask each of them to submit a letter of reference to the chair of the Graduate Committee. One of your references should specifically address your teaching. Instructors listed above may also be contacted by the Department. _____________________________________________________________ _____________________________________________________________ 5. Print an unofficial transcript from Campus Connection to include with this application. 6. Submit your completed application to the chair of the Graduate Committee. APPLICATION FOR TEACHING FELLOWSHIP Graduate Program Director Statement: This graduate student is making satisfactory progress and has met the Ph.D. preliminary exam and/or GRE requirements for a teaching fellowship. ______________________________________ Chair of the Graduate Committee ________________ Date Chair’s Decision: __________Approved __________Disapproved ______________________________________ Chair, Department of Mathematics 2 _______________ Date