Fillable Graduate Research Assistantship Application (Lawrence Technological University)

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Graduate Research Assistantship Application (Lawrence Technological University)

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Graduate Research Assistantship Application
Name: ________________________________________________________________________
Banner ID #: _____________________ Phone: ____________________________
Address: ______________________________________________________________________
Email: _____________________________________
Academic term of assistantship: ___________ Start Date for term of assistantship: ___________
Degree Name: __________________________________
I
f you are a current student, how many credits hours have you completed at LTU? ______
Number of graduate credits in progress at LTU: _______ Current LTU GPA: _______
TOEFL Score: ________ GRE Score: ________ GMAT Score: ________
Have you previously held a Research Assistantship at the College of Management? ______
If yes, please provide the following information
Date of Assistantship: _______________ Duration:______________
Faculty Advisor Name: ______________________________________
Academic Background
P
lease report all colleges and universities you have attended or are currently attending.
Institution 1
Institution Name: _______________________________________________________________
State: _________ Country: ______________________ Start Date: _______ End Date: _______
Program: _______________________________________________ Cumulative GPA: _______
Hours/Degrees Completed:
_______________________________________________________
Institution 2
Institution Name: _______________________________________________________________
State: _________ Country: ______________________ Start Date: _______ End Date: _______
Program: _______________________________________________ Cumulative GPA: _______
Hours/Degrees Completed: _______________________________________________________
Institution 3
Institution Name: _______________________________________________________________
State: _________ Country: ______________________ Start Date: _______ End Date: _______
Program: _______________________________________________ Cumulative GPA: _______
Hours/Degrees Completed: _______________________________________________________
Additional Information
Extracurricular activities and accomplishments:
Technical knowledge and training:
Teaching, research, or professional experience (give dates and nature of work):
______________________________________________________________________________
Briefly explain how this assistantship will assist your professional goals (attach additional paper
if more space is required):
______________________________________________________________________________
Please include a copy of your resume, statement goal, and two letters of recommendation,
(GRE or GMAT scores are optional) with your application.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED
If you are offered a position a background and reference check will be required.
By signing here I verify that all reported information is correct to the best of my knowledge.
___________________
___________________
___________________
Student Name
Date
Student Signature
Department Use Only
For (Term/Year): _______________________ Degree: ____________________________
Approved Denied by: _____________________________ Date: __________________
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Dean of College: _________________________________ Date: ________________________
Please return this form by 5 pm, January 5, 2018 to
Ms. Mariana Hernandez (mhernande@ltu.edu)
College of Management
M331, Buell Management Building
Fax: 248-204-3050
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Graduate Research Assistantship Application (Lawrence Technological University)

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Completed 22 August 2020

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