Application for Employment
Teaching Assistant and Equivalent Titles
UC Davis: Anthropology
328 Young Hall
2010-2011 Academic Year
Name:
UCD Student ID #:
Address:
(Number and Street, City and State, Zip Code)
Telephone Number(s):
E-Mail:
What is your UCD Graduate Program or Group?
What quarter and year did or will you begin your graduate studies at UC Davis?
Have you Advanced to Candidacy for the Ph.D.?
Yes
No
Date:
Winter
Spring
List Anthropology Courses Prepared/Qualified to Assist In:
Evolutionary:
Sociocltural:
What Quarters Interested in Employment:
Fall
Anthropology Courses Taken:
Number of Quarters Previous T.A. Experience:
Location and contact for most recent UCD job held:
Academic Preparation
List Colleges/
Univ. Attended
Degree
Awarded
Years
Attended
Location
City/State
References:
Name
Address
State any previous teaching experience or related employment experience.
Major Subjects:
(indicate Degrees & Dates Received)
Residency:
California residence is established by an adult who has relinquished prior residence and is physically present within the state for
one year with the intent to make California a permanent home. Other factors, however, may affect residency status; see the
General Catalog for further information.
Are you or do you expect to be a legal resident of the State of California at the time you begin your graduate studies at Davis?
Yes
No
Other:
Use this space to list any additional qualifications which might aid in evaluating your application (attach additional sheet if desired):
Attachments:
If you are not in the Anthropology Graduate Program, please attach a copy of your unofficial transcripts (graduate and
undergraduate) and a current resume/CV, along with a letter of interest.
____________________________________________________________________________________________________
If you are not a citizen of the United States at the time of employment, you will be eligible for employment only if you are (a) an
immigrant with an Alien Registration Card, (b) a resident alien with an Alien Registration Card, (c) the holder of an F-1 visa, or (d)
the holder of a J-1 visa whose sponsor has approved your employment.
EQUAL OPPORTUNITY/AFFIRMATIVE ACTION. The University of California prohibits discrimination against or harassment of
any person employed by or seeking employment with the University of the basis of race, color, national origin, religion, sex,
physical or mental disability, medical condition (cancer-related), ancestry, marital status, age, sexual orientation, citizenship, or
status as a Vietnam-era veteran or special disabled veteran.
University policy is intended to be consistent with the provisions of applicable State and Federal law.
Inquires regarding the University's equal employment opportunity policies may be directed to:
Eleanor Fontes-Fulton, Director, Office for Campus Diversity, AA/EEO, 533 Mrak Hall, 530-752-2071 or
FAX 530-752-6359. Speech or hearing impaired persons may dial 530-752-7320 (TDD).
CERTIFICATION: I certify that all the statements made are true, complete and correct to the best of my knowledge and belief and
are made in good faith.
Signature of Applicant: ____________________________________________________ Date: ______________________