Fillable Graduate Assistantship Application

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Graduate Assistantship Application

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The Graduate Assistantship Application form is 2 pages long and contains:

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  • 15 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

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___________________________________________________________________
DEPARTMENT OF MUSIC
APPLICATION: GRADUATE ASSISTANTSHIP
__________________________________
Date
______________________________________
First Name
______________
Middle Name
Are you authorized to work in the US? Yes No
If No, what is your Visa status? ________________
1. ___________________________________________________________________________________________________
2.
___________________________________________________________________________________________________
3. ___________________________________________________________________________________________________
Please list the languages in which you are proficient: ________________________________________________________________
In which of the following
areas do you feel most qualified to teach / assist?
Other area(s) (please list): _____________________________________________________________________________________
What experiences do you have which qualify you for the above choice(s)?
Have you ever been convicted of, pled guilty or no contest, to a felony charge? Yes No
Collegiate Institutions attended, dates and degrees:
_______________________________________
Last Name
________________
W Number
__________________________________________________________________________________________________________
Mailing Address
_______________________________________________
Email Address
___________________________
Phone Number
Written Theory
Aural Theory
Music History
Class Piano
Class Voice
Secondary Applied Lessons
Conducting
Vocal Ensembles
Recruiting and Publicity
Music Technology/Recording
Music Librarian
Instrumental Ensembles
Music Education Courses
Jazz Courses/Emsembles
Collaborative Piano
Please write a statement (approximately 100 words) outlining your goals for graduate study and your aspirations for a professional
career in music.
Please offer complementary information that may aid the Graduate Committee in assessing your GA application.
With respect to Title IV funds of the Higher Education Act, I certify that I have not been convicted of, pled no contest or guilty of a crime, or been judicially
determined to have committed fraud. I certify that all information given on this application, supporting documents, and interviews are correct to the best of my
knowledge. I understand that giving false information may disqualify my application or result in termination. I understand that this application is not intended to be
a contract of employment. I agree that the university may require my participation in retirement plans while employed. I further authorize the university to
investigate all statement made on my application for employment. I authorize such educational institutions and employers and others (and their agents or employees)
to respond to questions concerning information given on this application and I further release from liability the University of Wyoming, such former employers,
institutions, or persons providing such information. I understand that no offer of benefit such as insurance, vacation, or salary rate is final until approved by the
Human Resources Department. I will be required to serve a probationary period during which time I may be terminated in accordance with university policy;
federal law requires employers to document the identity and employment authorization of each new employee.
______________________________
________________________________________________________________
Signature
Date
Completed applications should be mailed to: ATTN: Graduate Studies, Department of Music, 1000 E University Ave - Dept. 3037, Laramie, WY, 82071
or emailed to kzook@uwyo.edu no later than February 16, 2018.
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Graduate Assistantship Application

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Completed 9 May 2020

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