Items with a * indicate a required field.

Student ID (if known)
- -
First Name *
Middle Name *
Last Name *
Preferred First Name *
Email
Local Address
Street *
City *
State *
Zip *
Phone *
- -
Zip *
Hometown Address
Same as Local Address
Street *
City *
State *
Zip *
Phone *
- -
Semesters Available to Work (Select at least one) *
Fall
Spring
Summer I
Summer II
Date available to start *
Select your first three preferences of the available Graduate Assistant openings *
First Choice
Second Choice
Third Choice
Undergraduate Major *
Undergraduate Minor
Date baccalaureate completed *
College/University where degree was earned *
G.P.A.
Graduate Major *
Graduate Minor
Date graduate degree to be completed *


Computer skills (Word, Excel, Access, PowerPoint, Photoshop, etc.)*


Areas or fields of major interest and special skills*


Work experience closely related to this application*



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