Items with a * indicate a required field.

Student ID (if known)
- -
*
*
*
*
*
Local Address
*
*
*
*
Phone *
- -
Hometown Address
*
*
*
*
Phone *
- -
Semesters Available to Work (Select at least one) *
*
Select your first three preferences of the available Graduate Assistant openings *
Second Choice
*
*
*
*
*

*

*

*