Department of Communication
Application for Graduate Assistantship (Non-Teaching)
Application
Deadline:
March 15
th
* Do not apply unless you have completed your application for admission
PERSONAL INFORMATION
Last Name First Name Middle Name
Other Names Used
Phone Number SUU “T” Number Date of Birth
Local Address City State Zip Code
Permanent Address City State Zip Code
Country of Citizenship State of Residency E-mail Address
SKILLS/EXPERIENCE
Rate your skills in the following areas (Excellent, Above Average, Average, Limited, None)
Written Communication Oral Communication
Research Skills (Library, Web, etc.) Word Processing/General Computer Skills
Organizational Skills Other (list)
RELEVANT WORK EXPERIENCE
List any experience you have in research
SUPPLEMENTAL INFORMATION
List supplemental information (employment, publications, etc.) be specic.
OPTIONAL INFORMATION
Racial/Ethnic Background
Medical/Physical limitations or special needs
CERTIFICATION
To the best of my knowledge and belief, I certify that the above information is correct and accurate. I accept the provisions of the
assistantship as provided in supplemental documents.
Signature of Applicant (print full name if signing electronically) Date
Attach additional information and/or documentation as necessary to fully explain or clarify answers on the
application. Submit completed application to paigesmith2@suu.edu or phone (435) 586-7861 for assistance.
