Division of Academic Affairs
Please send this form to gao@towson.edu
Semester(s)
Assistantship Type
Funding Number
Phone
Cancellation Date
Student’s Name
Empl ID
Dept. Name
Supervisor/Faculty Name
Supervisor/Faculty Email
Reason for Cancellation
Department Supervisor/Faculty Department Chair/Date
All Graduate Assistantship cancellation forms must be emailed to gao@towson.edu
02/7/2019
Graduate Assistantship Cancellation/ Change Form
Note: The purpose of this form is to cancel or change an assistantship
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Additional Comments
or Change
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