APPROVAL FOR GRADUATE ASSISTANT POSITION
GRADUATE PROGRAM REQUESTING SUPERVISOR
NAME OF STUDENT
STUDENT ID T-
(First, Middle, Last)
BEGINNING AND ENDING DATES FOR ASSISTANTSHIP
STIPEND
AMOUNT SOURCE (
For budgets other than Academic Affairs list budget title and code) PERCENTAGE
Biology Department – Fisheries and Wildlife Program - PSBIOS
Academic Affairs
Other
Other
NOTE: Unless directed otherwise, source budget accounts will concurrently be debited at
the percentages listed for each pay period. To stipulate a specific consecutive order in
which budgets are to be debited, list the source budgets on the following line in consecutive
ascending order.
TUITION WAIVER
TERM HOURS SOURCE (For budgets other than Academic Affairs list budget title and code)
Fall
Academic Affairs Other
Spring
Academic Affairs Other
Summer I
Academic Affairs Other
Summer II
Academic Affairs Other
LIST THE HOURS PER WEEK TO BE PROVIDED BY THE GRADUATE ASSISTANT DURING THE
CONTRACT PERIOD
10 (¼ Time)
20 (½ Time) 30 (¾ Time) 40 (Full-Time)
Other
Specify
LIST THE PERCENTAGE OF DUTIES TO BE PROVIDED BY THE GRADUATE ASSISTANT TO THE
PROGRAM, DEPARTMENT, SCHOOL, AND/OR UNIVERSITY IN EACH OF THE FOLLOWING
CATEGORIES.
Teaching %
Research %
Other %
Specify
IF TEACHING, WHICH TERM(S) WILL STUDENT TEACH?
Fall
Spring Summer I Summer II
Other
Specify
Requesting Supervisor Date
Graduate Program Director Date
Graduate Dean Date
Copies to:
Dean of School Head of Department Academic Affairs Program Director
Other
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