AMERICAN HERITAGE TA APPLICATION FOR FALL 2016
Return to 3421 HBLL. Due Friday February 5th, 2016
APPLICANT INFORMATION
Name:
Net ID:
Phone:
Current address:
City:
State:
Year for which applying:
Email Address:
ZIP Code:
Number of hours per week you can work (generally assistantships are for 15 hrs/week):
Anticipated date of graduation from BYU:
Last Semester GPA:
Cumulative GPA:
Year in School:
Major:
Minor:
If Graduate student, list previous degrees(s),
Major, Granting Institution:
TEACHING EXPERIENCE
Have you previously worked as a teaching or research assistant? If so, list experience:
Any other teaching experience:
WRITING EXPERIENCE
Please list all writing courses you have taken at the university level that included intensive training in writing or required
extensive writing assignments. List the grade you received:
Please also list any other training, qualifications, or writing experience you have received:
If you took any of the following AP exams, please list the exam and your score: English language, English literature, US
History, US Government, World History, Economics
REFERENCES:
LIST TWO FACULTY REFERENCES (INCLUDE PHONE NUMBERS)
AMERICAN HERITAGE TA APPLICATION FOR FALL 2016
Return to 3421 HBLL. Due Friday February 5th, 2016
APPLICABLE COURSES TAKEN/ENROLLED
The American Heritage program requires a background that includes Economics 110, and your choice of two of the three
following courses: American Heritage 100, Political Science 110 and History 220. List the required courses completed as
well as any applicable courses.
Class
Instructor
Grade/Date
If you are deficient in one of these specific courses, would you be willing to enroll in that course prior to beginning your
assistantship? If so, when and what course? _______________________________________
Please attach a copy of your most recent transcript or ABC printout and a one page statement concerning what makes a
good American Heritage TA and how you fit into that model. A discussion of your understanding of the mission of
American Heritage is also appropriate, as well as any additional information that might help in evaluating your application.
Letters of recommendation are appreciated.
I affirm that the information provided on this application is true and complete to the best of my knowledge.
Signature of applicant:
How did you hear about this position?
Date: