APPLICATION FOR A GRADUATE TEACHING FELLOWSHIP
RETURN TO:
GRADUATE DIRECTOR
Department of Mathematics & Statistics
University of North Florida
Jacksonville, FL 32224
In addition to satisfying minimal University graduate admission standards, each candidate for a graduate assistantship in the
Department of Mathematics & Statistics must submit GRE scores (verbal and quantitative) and three letters of recommendation
from persons familiar with the candidate’s academic record. A foreign student must also submit TOEFL scores and TSE scores.
1.
NAME__________________________________________________________________________________________
(last)
(first)
(m.i.)
2.
SOCIAL SECURITY NUMBER_____________________________________________________________________
(If you do not have one, indicate why)_________________________________________________________________
3.
ADDRESS______________________________________________________________________________________
________________________________________________________________________________________________
(city)
(state)
(zip code)
4.
TELEPHONE NUMBER___________________________________________________________________________
(area code)
5.
a.
I wish to apply for a
[ ] full-time assistantship (20 hours per week)
[ ] part-time assistantship (usually 10 hours per week)
b.
List chronologically colleges or universities you have attended with dates of enrollment and degrees attained.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
6.
7.
c.
Have you submitted an application for the graduate program or changed your degree program to the graduate
program in Mathematics and Statistics? [ ] yes [ ] no
a.
Approximate date you took or will take the GRE: _______________/______________/_______________
month
day
year
b.
GRE scores (if known):
c.
Have your official GRE scores been, or will they be, submitted to the University registrar?
[ ] yes [ ] no
d.
If no, please explain_______________________________________________________________________
______________
verbal
______________
quant?
______________
advanced
______________
specify
If you are a foreign student, please answer the following:
a.
Approximate date you took or will take the TOEFL: _______________/______________/______________
month
day
year
b.
TOEFL score (if known): ________________________. Be sure to have your official TOEFL score
submitted to this department.
c.
Approximate date you took or will take the TSE: _______________/_______________/_______________
month
day
year
d.
TSE score (if known): _______________________. Be sure to have your official TSE score submitted to
this department.
(OVER)
8.
Fill in as much of the following information as possible on each of your references:
a.
NAME _________________________________________________________________________________
TITLE _________________________________________________________________________________
ADDRESS ______________________________________________________________________________
________________________________________________________________________________________
(city)
(state)
(zip code)
TELEPHONE NUMBER __________________________________________________________________
(area code)
ACADEMIC RELATIONSHIP TO YOU _____________________________________________________
_______________________________________________________________________________________
b.
NAME _________________________________________________________________________________
TITLE _________________________________________________________________________________
ADDRESS ______________________________________________________________________________
________________________________________________________________________________________
(city)
(state)
(zip code)
TELEPHONE NUMBER __________________________________________________________________
(area code)
ACADEMIC RELATIONSHIP TO YOU _____________________________________________________
_______________________________________________________________________________________
c.
NAME _________________________________________________________________________________
TITLE _________________________________________________________________________________
ADDRESS ______________________________________________________________________________
________________________________________________________________________________________
(city)
(state)
(zip code)
TELEPHONE NUMBER __________________________________________________________________
(area code)
ACADEMIC RELATIONSHIP TO YOU _____________________________________________________
_______________________________________________________________________________________
9.
Indicate any previous experience you have had which would enhance your abilities as a graduate assistant (e.g.,
undergraduate grading, computer related jobs, teaching, computer languages, statistical consulting). Please detail the
extent of your experience.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________