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o o MI (California State University, Sacramento)

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The o o MI (California State University, Sacramento) form is 1 page long and contains:

  • 2 signatures
  • 31 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

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o o
MI
/ /
Telephone:
o
o
o
o
o
o
o
o
Will you be working as a Temporary Faculty or Staff Employee in any other department?
o
o
Units Enrolled:
o
o
o
Ext:
o
o
o
o
o
o
Number
Section(s)
Units
o
TBA
Graduate Assistant for ______ hours per week (Fall & Spring Semesters: Max. 20 hrs per week)
Teaching Associate for ______ hours per week (course info):
Course Subject
Sac State Email:
Graduate
Doctorate
Program:
Academic Student Employees MAY NOT be concurrently hired as faculty or staff member.
Do you have prior experience?
Day
Year
XXXX
No
Yes
Substitute Teaching Associate Pool (TA Only) - Check if you want to be considered for the on-going, as needed,
substitute TA assignment pool.
Yr:
No
We are recommending this student for employment as a Graduate Assistant or Teaching Associate for the semester indicated above.
Enter the names and contact information for two references. At least one must be by a university faculty member.
No
Graduate Student is enrolled in 4-12 units OR Continuous Enrollment paperwork submitted.
Overall GPA 3.0 + (2.5 for newly admitted students)
Date:
California State University, Sacramento
Department / Program Center:
The information submitted in this application is true
and correct to the best of my knowledge.
Month
Student ID #:
Yes
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.
Telephone
Will the student be receiving a GA / TA Dean's fee waiver?
o
Yes
Hiring dept / program must submit a Work Status Verification form to the
Int'l Programs & Global Engagement (IPGE) office.
Graduate Assistant
Teaching Associate
Submit completed and verified application by EMAIL to the hiring department or program unit
Graduate Assistant (GA) / Teaching Associate (TA) Application
Semester:
Spring
Year:
Summer
Winter
No
Yes
Are you an international student?
Will you be working as an Student Asst, Instructional Student Asst, Graduate Asst or Teaching Associate in any other
department?
No
Yes
Name
Last Name:
First Name:
Dept & Hrs:
Yes
Dept:
Fall
One Application per Position
Have you worked as a TA / GA before?
Dean Signature / Office of Graduate Studies
Approved
Name
Title/Department
Institution
Birthday:
Denied
Chair / Unit Administrator (PRINT)
Dept.
Ext.
Office of Graduate Studies use ONLY
ONLY graduate or doctoral students are eligible to work as Graduate Assistants (GA) or Teaching Associates (TA)
Chair / Unit Administrator: I verify that the student meets the following requirements (check off boxes):
Signature
New Applicants - Student is NOT approved to start working until all hiring paperwork has been submitted to student HR office.
Work dates on the Academic Student Employee Personal Transaction Form (ASEPTF) are current & accurate (actual work dates ).
GA/ TA reports to (staff / faculty):
Is the applicant an international student?
Click here to verify
Graduate OVERALL GPA:
Date
We recommend this graduate student for employment during the semester indicated above as a:
Hiring Department / Program Unit Only
Updated: Dec 2020
Our department / program acknowledges the following (check boxes):
Attach a separate sheet describing your qualifications for the position OR resume/CV.
o
No
Continuous Enrollment Documents Submitted
Telephone
Institution
Title/Department
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signature
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o o MI (California State University, Sacramento)

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Completed 30 November 2021

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