Academic Grad
uate Assistant Request Form
Preferred request deadline to the Graduate College is June 1
st
for the upcoming fiscal year.
Before submitting this form to the Graduate College you must complete the
following:
1. Initiate a background check through Self Service Banner. You will receive an email once the
st
udent has receive a clear background check. Date background check cleared _______________
2. Once you have initiated a background check send the student to Human Resources to
complete/update Human Resources paperwork. Date HR paperwork completed ____________
Failure to complete the above requirements will result in this form being returned to you
and delaying the students start date. Students may not begin work prior to receiving a
clear background check and the completion of their HR paperwork.
Requesting Program/Office: ____________________ Name of Supervisor: _________________
If you do not have an allocated position filled by May 1
st
, you must submit a request for an extension via
e
mail to the Graduate College. Upon filling the position, please send this form to astandridge1@atu.edu
Student Name: Student Degree Program:
Student T#:______________ Anticipated Graduation Date: _____________ GPA: _________
Student ATU Email: _________________________
First and last day of work for assistantship*:______/_____/______ to ______/______/_____
mm dd yyyy mm dd yyyy
*Supervisors should initiate background checks. Students may not work prior to receiving a clear background check and
the completion of their HR paperwork or beyond their graduation date.
Are you holding another paid position at Arkansas Tech University? Yes No
If yes, please answer the following:
Department: ___________________ Supervisor: ________________ Hours/week working: _______
Stipend Amount Source Percentage
(For budgets other than Graduate College, list budget title and code) (must total 100%)
______________ Graduate College _________%
______________ Other _________________________________________________%
______________ Other _________________________________________________%
Tuition Waiver: (Only Graduate Level Courses can be waived)
TERM
Summer II
HOURS
0 - 3
SOURCE (For budgets other than
Graduate College
Graduate College, list budget title and code)
Other
Fall
6 - 9
Graduate College
Other
Spring
6 - 9
Graduate College
Other
Summer I
0 - 3
Graduate College
Other
Total Tuition Waiver hours not to exceed 18 hours per academic year (July 1June 30)
Academic Graduate Assistant Request Form
Preferred request deadline to the Graduate College is May 1
st
for the upcoming fiscal year.
Please indicate below those areas, along with percentages, that will apply to the work of the requested
Graduate Assistant (GA).
Research/Grant Percentage: _________
Describe research/grant work, expected deliverable and completion date indicating the number of
semesters needed for this GA’s work to be completed (no more than 4 semesters). Indicate any
department funds that will be provided or grant funds that will assist with the support.
Detail: __________________________________________________________________________
_________________________________________________________________________________
Teaching Percentage:
Indicate the courses and number of sections the GA will be assigned to teach. Indicate if this will
constitute 10-hour or 20-hour assignment. Provide a detailed justification of teaching need.
Detail: ___________________________________________________________________________
_________________________________________________________________________________
Faculty Support/Clerical Support Percentage: __________
Detail: ___________________________________________________________________________
_________________________________________________________________________________
Other Percentage: ___________
Be specific in your description.
Detail: ___________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
The student and supervisor are advised that until the processes initiated by this form are
complete, the student is not eligible to work.
A complete process will be recognized by the student’s ability to logon to OneTech and access
a GA timesheet online.
Signatures:
Graduate Program Director/Supervisor: ________________________________ Date: ___________
College Dean: ____________________________________________________ Date: ___________
Graduate Dean: ___________________________________________________ Date: ___________
Academic & Non-Academic Graduate Assistant Processing Procedures
Finding a Graduate Assistant
Contact Amee Standridge (astandridge1@atu.edu, 479-964-3624) or Jill Hays (jhays@atu.edu,
479-968-0398) to post the position on the Graduate College GA website or for a list of available
GA applicants.
Hiring a Graduate Assistant
Graduate Assistants must meet the following requirements:
Completed a baccalaureate degree prior to the first semester of the appointment year.
Gained unconditional admission to the Graduate College and their academic department to
merit appointment.
Candidates admitted conditionally may be granted a one-semester contract if an appeal is
submitted by the hiring department to the Graduate College. If approved by the Graduate
College the student must achieve a 3.00 GPA for that semester.
Must remain in good academic standing with the Graduate College.
Once a student has accepted a GA position:
Run a background check on new & returning GAs (can be found on OneTech).
Make sure student knows to look for an email from HireRight and to complete it as soon as
received.
Send student to HR to fill our Graduate Assistant package.
Fill out the Graduate Assistant Request Form. Select from the following options based on the
department the GA will be working in:
o Academic Approval Form
o Non-Academic Approval Form
Students must completed the following before they begin working to insure they are paid:
Clear background check*
HR paperwork*
*Supervisors should initiate background check. A student’s start date cannot be before the
student has signed their HR paperwork.
When a Graduate Assistant resigns or is terminated from a position:
Send letter/email of resignation or Graduate Assistant Resignation/ Termination form, noting
last day GA will work and reason for leaving/termination, to Amee Standridge
(
astandridge1@atu.edu).
This form must be sent immediately to prevent overpayment to student and the state/IRS. Any
overpayment will have to be collected from the student and additional paperwork will be needed
for reversal of taxes paid by the university. For this reason it is very important that it is completed
immediately.