GEORGIA TECH STUDENT AND TEACHER ENHANCEMENT PARTNERSHIP
(GT-STEP)
GOIZUETA FOUNDATION GRADUATE TEACHING FELLOW APPLICATION
2011
DUE: April 10, 2011 – email to donna.llewellyn@cetl.gatech.edu
Applicant (print name) _______________________________________________________________________________
Contact Information E-mail address______________________________________ Phone________________________
Anticipated Final Degree___________________
Date began Graduate School at GT _____________________
Please indicate your Spanish fluency level: Native Speaker___ Advanced___
Intermediate___
Novice____ None__
Home School/Department _________________________ Major_____________________________________________
Advisor______________________________ Advisor’s Home School/Department ______________________________
Expected Term for Degree Completion ___________________
If you are pursuing a doctorate, have you passed your qualifiers/comprehensive exams yet? Yes__ No __
If NO, what is your status with respect to them? _____________________
How many classes do you intend to be enrolled in during: Summer 11____
Undergraduate Degree __________________
Fall 11_____
Spring 12_____
Undergraduate institution _______________________
In what section of the Atlanta-area do you now live? (This will not affect your chance of placement in the program—it is just
used for school assignment purposes.) _______________________________________
Do you have a car? Yes________
No_________
What support do you expect to have from your advisor/academic unit during the 2010-11 academic year?
GRA:______________ GTA:_____________
GA:_______________
Don't Know:____________
Briefly state why you want to participate in the Goizueta Foundation STEP program.
STEP GRADUATE FELLOW ADVISOR REFERENCE FORM
DUE: April 10, 2011
DIRECTIONS
PLEASE HAVE YOUR ADVISOR FILL OUT THIS FORM AND RETURN IT ELECTRONICALLY TO DR.
DONNA LLEWELLYN AT DONNA.LLEWELLYN@CETL.GATECH.EDU. YOU WILL NOT BE CALLED IN
FOR AN INTERVIEW UNTIL WE RECEIVE BOTH YOUR APPLICATION AND THIS FORM.
IF YOU HAVE A RESEARCH ADVISOR, PLEASE HAVE
THEN AN ACADEMIC ADVISOR IS FINE.
THAT PERSON FILL OUT THIS FORM.
IF NOT,
APPLICANT NAME: _________________________________________________________________________
═════════════════════════════════════════════════════════════
ADVISOR NAME: ___________________________________________________________________________
EMAIL: __________________________________________
CAMPUS PHONE: _____________________
SCHOOL: __________________________________________________________________________________
ARE YOU THE APPLICANT’S RESEARCH OR ACDEMIC ADVISOR? ________________________________
HOW LONG HAVE YOU ADVISED THE APPLICANT? ____________________________________________
IS THE APPLICANT MAKING ADEQUATE PROGRESS TOWARDS THEIR DESIRED DEGREE? _________
OVERALL, PLEASE INDICATE IF YOU APPROVE OF THIS APPLICANT’S PARTICIPATION AS A STEP
TEACHING FELLOW. PLEASE NOT THAT EACH PROGRAM REQUIRES FIVE HOURSE PER WEEK
COMMITMENT IN THE SECONDARY SCHOOL CLASSROOM (PLUS TWO HOURS PREPARATION TIME)
AND COMES WITH A STIPEND SUPPLEMENT OF $8000 FOR THE CALENDAR YEAR PLUS TUITION
WAIVERS
FOR
THE
YEAR
(SUMMER
THROUGH
SPRING).
PLEASE
SEE
HTTP://WWW.CETL.GATECH.EDU/STEP FOR MORE INFORMATION ABOUT THESE PROGRAMS.
YES:
_____
UNCERTAIN: _____
NO: ______
BE AWARE THAT WE WILL NOT ACCEPT ANY APPLICANT WHO’S ADVISOR DOES NOT
APPROVE OF HIS OR HER PARTICIPATION. FEEL FREE TO CONTACT DONNA LLEWELLYN AT 4-2340
OR DONNA.LLEWELLYN@CETL.GATECH.EDU TO DISCUSS ANY CONCERNS.
PLEASE
APPLICANT’S NAME: _________________________
PLEASE BRIEFLY DESCRIBE THE APPLICANT IN TERMS OF THEIR WORK ETHIC, INTERPERONSAL AND
COMMUNICATION SKILLS, AND INDEPENDENCE.
PLEASE SHARE ANY OTHER COMMENTS OR INFORMATION ABOUT THE APPLICANT HERE.