Fillable Telephone: E-Mail (California State University, Sacramento)

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Telephone: E-Mail (California State University, Sacramento)

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  • 15 check-boxes
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File type: PDF

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Department / Program Center:
o
o
Last Name: MI
SS# / ID #:
Mailing Address:
City State Zip
Telephone: E-Mail
o
o
No
o
Are you an international student?
o
No
o
Submit this application to the Office of Global Education for verification
o
No
o
Will you be working as a Temporary Faculty or Staff Employee in any other department?
o No o
Yes (IF YOU SELECTED 'YES' - STOP)
**Academic Student Employees may not be concurrently hired as temporary faculty/staff
For Office of Global Education:
# of Units: Class Level:
o
Yes
o
No
Units Enrolled:
o
Will the student be receiving a GA / TA Dean's fee waiver?
o
Yes
o
No
Ext:
o o
o
o
o
o
One Application per Position
Work dates on the Academic Student Employee Personal Transaction Form (ASEPTF) are current & accurate (actual work dates ).
Substitute Teaching Associate Pool (TA Only) - Check if you want to be considered for the on-going, as needed, substitute TA assignment pool.
Graduate Assistant for ______ hours per week (not to exceed 20 hours)
Teaching Associate for ______ hours per week
We recommend this graduate student for employment during the semester indicated above as a:
ONLY graduate or doctoral students are
eligible to work as Graduate Assistants or
Teaching Associates.
Briefly describe your qualifications for the position (attach resume or additional sheet to application):
We are recommending this student for employment as a Graduate Assistant or Teaching Associate for the semester
indicated above.
Phone #
Date
Student
Signature:
Date:
VISA
New Applicants - Student is NOT approved to start working until all hiring paperwork has been submitted to student HR office.
Address
Summer
Winter
Fall
GPA:
Is the student eligible for employment at Sac State?
Graduate Assistant
Institution
Semester:
Yes:
Year:
Teaching Associate
Dean Signature / Office of Graduate Studies
Office of Graduate Studies use ONLY
Approved
Enter the names and contact information for two references. At least one must be by a university faculty member.
Name
Title/Department
Phone #
Overall GPA 3.0 +
Ext.
California State University, Sacramento
Graduate Assistant (GA) / Teaching Associate (TA) Application
Submit a completed and signed application to the hiring department or program unit
First Name:
Birthday:
Will you be working as an ISA, Student Assistant, Graduate Assistant or Teaching Associate in any other department?
Spring
In compliance with the criteria and terms of the Sacramento State Graduate Assistant / Teaching Associate Dean's fee Waiver Program, the academic unit cited is permitted to recommend this
Graduate Assistant for a waiver of the State University fees and / or the non-California resident tuition (not valid unless signed below). Waivers are funded by the hiring department / program.
Name
INTERNATIONAL UNDERGRAD & GRAD STUDENT VERIFICATION - Office of Global Ed, Lassen Hall 2304
Institution
I verify that the student meets the following requirements (check off boxes):
Office of Global Education Signature
Hiring Department / Program Unit Only
Title/Department
Denied
Chair / Unit Administrator (PRINT)
Dept.
Updated
Graduate OVERALL GPA:
Cont Enrollment Fees Paid
AND that our department / program acknowledges the following (check boxes):
AND
Signature
Apr-17
Have you worked as a TA / GA before?
Yes
Major:
Graduate Student is enrolled in 4-12 units / Continuous Enrollment fees paid
Yes (department(s) and hours ):
o
o
Date
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Telephone: E-Mail (California State University, Sacramento)

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Completed 18 August 2020

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