1. Last Name ___________________________ First Name ______________________ M.I. _____ 2. Local Address __________________________________________________________________ 3. Telephone ____________________ 4. Social Security Number _______________________ 5. Permanent Address ______________________________________________________________ 6. Have you ever applied for any
Graduate Assistant, Teaching Associate, Student Assistant,
Lecturer If "yes", what department? ____________________________ Number of hours _______________ 7. Do you have a concurrent appointment with any other department? Yes _____ No _____ If "yes", what department? ____________________________ Number of hours _______________ 8. Education, including community colleges, colleges, or universities from which you were graduated:
_________________________________________________________________________________ _________________________________________________________________________________ 9. Semester units after last earned degree: Work in progress toward ___________________________ degree Undergraduate Major(s) __________________________ Minor(s) ____________________________ _________________________________________________________________________________ Graduate Major(s) ______________________________ Minor(s) ____________________________ _________________________________________________________________________________ 10. Overall undergrad grade point average: Approximately _________ (using four-point scale, A= 4.0) Overall graduate grade point average: Approximately __________ (using four-point scale, A=4.0) 11. Graduate Record Examination Aptitude Test Score: Q ________ V _________ A _________ GMAT Scores (for College of Business applicants) _______________
12. Experience: Teaching and other employment (list chronologically beginning with the present.)
_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 13. List college or university courses recently completed or in which you are currently enrolled in the field of study of the assistantship desired:
_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 14. Please list computer skills you have. Include the kinds of software you are familiar with, and the length/scope: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
15. ______________________________________________________________________________
_________________________________________________________________________________
16. If required by the department, please furnish at least two letters of recommendation from persons qualified to comment on your qualifications. Note: A Teaching Associate or Graduate Assistant at San Diego State University must be admitted to the University by the Office of Admissions and Records, receive classified graduate standing during the first year or preferably the first semester, register each semester for at least six units of graduate courses in their degree program, and comply with policy and standards in the Graduate Bulletin. Failure to comply with these academic requirements or to perform teaching assignment satisfactorily will be sufficient cause for termination of appointment. A Teaching Associate or a Graduate Assistant must pay established services, facilities or material fees, and, if a nonresident, tuition fees each semester. It is understood that a Teaching Associate or a Graduate Assistant is primarily a student who is pursuing an education. Services rendered as an Associate or an Assistant are secondary to the main educational objective of the student. 17. Are you currently authorized to work in the U.S.? Yes _____ No ______ If you are not currently authorized to work in the U.S., please state your immigration estatus.___________________________________________________________________________ Are you presently employed? ____________ May we contact your employer?____________________ May we contact your former employer? ____ Name:_____________________ Phone:_____________ 18. I understand that the rules of the California State University prohibit my employment in a department where I would be supervised by a close relative. I hereby certify that all statements on this application are true and complete to the best of my knowledge and belief. I understand that false statements on pre-employment materials constitutes fraud in securing employment and is basis for dismissal under the California Education Code.
Signature _______________________________________ Date ___________________ |