1
Division of Academic Affairs
Office of Graduate Studies
Psychology Building, 2nd Floor
GRADUATE ASSISTANTSHIP APPOINTMENT REQUEST ACADEMIC YEAR _______
1. Faculty/Supervisor Information
Name  Department Name
Phone  E-Mail ___________
2. Position Information
Assistantship Type: _______________________ Hours: _______ Semester: _______________
3. Financial Information
Stipend $__________ Tuition Waiver $ __________ Total $ __________
Source(s) of FundsIs this Appointment Funded by the Graduate Dean? ____________
(If yes, appointment must not exceed the budget allocated by the Graduate Dean’s Office. Continue
to Part 4.)
If funded by the department or grant, list the funding source(s) below:
1. Department or grant number: ________ Amount ________
2. Department or grant number: ________ Amount ________
4. Student Information
a. Has this student been admitted into a graduate program at Towson University? ___________
b. Has this student enrolled in classes for the term of this appointment? __________
Do not continue unless both 4a and 4b are “YES”.
Name ____________________________________ TU ID ___________ UB ID _______
Current Mailing Address: ________________________________________________________
Email Address: _______________________________ Phone Number: ___________________
Program/Degree Major ____________________________
a. Has selected student worked for TU in the past 6 months? ________
b. Is the student a U.S. Citizen or Permanent Resident Alien? _______
c. Does the student have a social security number? _______
If the student does not have a social security number, the appointing department must wait
until August 1 before proceeding. On or after August 1 please proceed as follows:
1.
Complete the Employee Letter on Univer
sity letterhead.
2.
Give the completed Employee Letter to the student.
Current Year Summer Rates
Current Year Fall Rates
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2 03/7/2019
5. Effective Start Date:_______________
Note: The student must have an I-9 on file with OHR before starting work assignment.
The student must maintain a minimum 3.0 GPA to retain the assistantship position.
Definitions of Graduate Assistant Types are listed in the GA Handbook.
Position Description including justification of educational and professional benefit to student:
Required Signatures:
______________________________________ _____________________________________
Faculty/Supervisor/Date Chair/Department Head/Date
______________________________________ _____________________________________
Dean/Divisional Budget Officer/Date Office of Sponsored Programs & Research/Date
(if grant-funded)
_______________________________________ ____________________________________
Dean of Graduate Studies/Date Provost Budget Office/Date
For GAO Use
Request Approved? Yes No Comments:
PBO Use:
Category____________________
3. Tell the student to take the Employee Letter to the International
Student & Scholar Office (ISSO), Psychology Building, Suite 408, to
begin the immigration notification process.
4. Attach a copy of the Employee Letter to this form and submit to the
Graduate Assistantship Office, Psychology Building, Room 203
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