Graduate School
ASSISTANTSHIP APPLICATION
Name
ID#
Date
P
resent Address Phone
I
ndicate Graduate Program (must be admitted to be eligible for an assistantship)
__
__Education Specialist: School Psychology
____Master of Education
____Master of Science in Disability Human Services
____Master Science in Information Systems
____Master Science in Management
____ Master Science in Speech-Language Pathology
____Master of Science in Special Education
____Master Science in Sports Management
I am applying for the assistantship for the following term(s):
Fall ’20 Spring20 Summer ’20
T
ype of assistantship preferred: Teacher Research Service
P
revious teaching, research, or service experience:
Other relevant experience:
N
ame three (3) professional references that can attest to your teaching, research, or service abilities:
Name Title
Address Phone
Name Title
Address Phone
Name Title
Address Phone
S
ubmit the completed form to your Graduate Program Director. Applications should be submitted no less
than one semester prior to when you wish to be appointed.
6
/2021