Fillable TA Application Form

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TA Application Form

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  • 151 other fields

Country of origin: US
File type: PDF

U.S.A. forms for California State University, Fresno

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APS-8/2018 (ASE app)
California State University, Fresno
APPLICATION FOR ACADEMIC STUDENT EMPLOYEE POSITION *
*Check Item #10
PERSONAL INFORMATION
(Please type or print all responses.)
1. Name:
First
Middle
Last
3. Local
Address
:
Number
Street
City
Zip
5. Permanent or
Home Address:
Number
Street
City
Zip
6. If hired, can proof of age be
provided?
Yes
No
7. If hired, can you produce evidence that you have a
legal right to work in the U.S.A.?
Yes
No
employment? If, yes, explain in
comments.
Yes
No
9. Were you ever convicted of an offense other than speeding or unlawful parking of a motor vehicle?
Yes
No
If yes, explain in comments. Exclude from consideration in response to this question any incident which occurred before your 21
st
birthday and
which was adjudicated in the juvenile court or under a youth offender law, or which was sealed under the California Welfare and Institutions Code
Section 781 or the California Penal Code 1203.45.
10. Position Sought:
TA
GA
ISA
11. Department
12.Academic Standing GPA:
Undergraduate
Graduate (complete #13)
13a. What is your Master’s
degree field?
13b. In what other fields do you
have competence?
13c. Graduate Status:
Unclassified
Conditionally Classified
Classified
Advance to Candidacy
PERSONAL STATEMENT. Use this space to describe your immediate and/or long-range goals relative to this assistantship.
REFERENCE
List at least three references who are knowledgeable about your fitness for the position for
which you are applying.
Name
Title/Position
Address
APS-8/2018 (ASE app)
PREPARATION
: List all school training including academy, normal, college or university. Include private instruction
relevant to your application.
Name of School
Dates
Credit
Received
Average
Grade
Major
Degree
Date granted
or expected
From
To
List any honors received:
EXPERIENCE
: With most recent position first, list experience in
teaching
and
other
employment
related
to
your field of
specialization.
SPECIAL QUALIFICATIONS: List those courses in your major and related fields which you think help qualify you for an assistantship.
Course
Units
Grade
Year taken
Course
Units
Grade
Year
taken
COMMENTS: Use this space to explain responses to any item above which might require additional information.
The above statements are correct and true to the best of my knowledge and belief.
Signature Date
Name of School or Agency
Position title and/or
academic rank
Location
City & State
Percent time
employed
Dates
Number of
Months
From
To
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TA Application Form

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Completed 5 May 2020

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