Graduate Teaching Assistantship Application Form
Department of Mathematics
Wayne State University
Applying for: FALL or WINTER (circle one) Year:
Degree sought: Masters
Ph.D.
First Name:
Both
Middle Names(s):
Date of Birth:
Family Name:
Citizenship:
Ethnicity (optional):
Gender:
Telephone:
E-mail:
Address:
City:
State:
Country:
Zip Code:
Field of Interest (optional):
Collegiate and other post-high school training at the undergraduate level
Dates of
Attendance
Institution
Location
Degree
and Major
Date of Degree
(or Expected)
Degree
and Major
Date of Degree
(or Expected)
Collegiate and other professional training at the graduate level
Dates of
Attendance
Institution
Teaching positions and experience
Location
Publications; use additional pages if needed (optional):
Honors and awards (optional):
Educational References: Provide three references who are familiar with your mathematical experience and training.
Recommendation letters should be sent directly to the Department of Mathematics at the address below.
Name
Address
1.
2.
3.
If your native language is not English, provide an additional reference who is familiar with your ability to conduct a
mathematics class in the English language.
4.
I have requested that an official copy of my transcript(s) be sent to the Department of Mathematics.
I have requested that an official record of my TOEFL score be sent to the Department of Mathematics (for
students applying from outside of the United States).
Signature
Applications may be submitted by e-mail or by regular mail to:
Chair of Graduate Recruitment Committee
Department of Mathematics
656 W. Kirby
Wayne State University
Detroit, MI 48202
USA
E-mail: gta-applications@math.wayne.edu
Telephone: +1 313 577 2479
Fax: +1 313 577 7596
Website: http://clasweb.clas.wayne.edu/math
Date