Print Form Deadline: MARCH 1 Return to: Animal Science Graduate Advising 1249 Meyer Hall, UC Davis One Shields Avenue Davis, CA 95616 (for the following academic year) APPLICATION FOR ANIMAL SCIENCE GRADUATE TEACHING ASSISTANTSHIPS DATE:_____________________ NAME:__________________________________________________________________________________ (Last) (First) (Middle) ADDRESS:_______________________________________________________________________________ (Number and Street) (City) (State) (Zip Code) PHONE #:(____)_____________________ E-MAIL ADDRESS:____________________________________ STUDENT ID # :_____________________________________________________________________ ¾ Are you currently a registered UCD graduate student? YES NO If ‘No’, have you submitted an application for admission to Graduate Studies at UCD? YES NO ¾ GRADUATE GROUP ___________________________________________________ ¾ DEGREE M.S. Ph.D. ¾ MAJOR PROFESSOR ______________________________________________ ACADEMIC PREPARATION List all Colleges/ Universities Attended Dates Attended Graduated? Degrees and Yes/No Dates received Location (City/State/Country) Major Subjects REFERENCES (Request letters from at least three individuals in a position to evaluate your potential to fulfill the responsibilities of a Teaching Assistant. Letters should be sent to Animal Science Graduate Advising, see address at top of page.) NAME ADDRESS To insure consideration, return this form to the Animal Science Graduate Advising Office (1249 Meyer) by the March 1 deadline. All students (entering and continuing) are responsible for submitting copies of their transcripts from all colleges attended. Deadline: MARCH 1 Return to: Animal Science Graduate Advising 1249 Meyer Hall, UC Davis One Shields Avenue Davis, CA 95616 (for the following academic year) ¾ Quarters you are applying for support: FALL WINTER SPRING ¾ Continuing students: List departmental courses you feel qualified to serve as TA: ¾ Are there quarters you prefer not to be assigned as a TA? If so, please provide details. ¾ Please describe your previous experience and/or background that would be useful for teaching in Animal Science. Attach additional sheets as needed. Since the field of Animal Science includes physiological aspects of food-producing animals, many of the laboratories in our undergraduate classes involve invasive procedures or dissections. Are you willing to fulfill TA responsibilities for these classes? YES NO Please note that the Department of Animal Science does not provide departmental support to M.S. students beyond their second year of graduate study. The final year of eligibility for departmental support is the 5th year of a Ph.D. if you did not do a M.S. at UC Davis; or the 6th year of graduate study that includes a 2 year M.S. study at UC Davis. Progress is more carefully scrutinized for the final year of eligibility. CERTIFICATION I certify that all the statements made here are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. Signature of Applicant:_________________________________ Date:_________ The University of California, in accordance with applicable Federal and State Law and University policy, does not discriminate on the basis of race, color, national origin, religion, sex, disability, age, medical condition (cancer-related), ancestry, marital status, citizenship, sexual orientation, or status as a Vietnam-era veteran or special disabled veteran. The University also prohibits sexual harassment. This nondiscrimination policy covers admission, access, and treatment in University programs and activities. Inquiries regarding the University’s student-related nondiscrimination policies may be directed to Student Judicial Affairs Director, 463 Memorial Union, (530) 752-1128.