GA Application

 

Application for Assistantship or Fellowship

Tennessee Technological University

 

Name: ______________________________________ Date: ____________

 

Student ID “T” No.: _____________________

 

Address: ____________________________________________________

 

Phone: ____________________

 

Email Address: _______________________________________________

 

Date of Birth: _______________

 

Undergraduate Major: __________________________________________

 

Type of position for which application is made:

___Adapted Physical Education Assistant (1 position)

___Coaching and Sport Management Assistant (one full time)

___Fitness and Wellness Assistant (one full time)

___Special Olympics/Equipment Manager Assistant (1 position)

___Teaching Assistant (4 positions)

___Technology Assistant (1 position)

 

Department or area in which you will major:

___Elem/MS PE       ___Licensure         ___Fitness/Wellness       ___Adapted Physical Activity

 

If appointed to an assistantship, would you be able to carry out all necessary job assignments and perform then in a safe manner? ___Yes ___No If no, please explain:

___________________________________________________________

 

 

Do you anticipate any additional work responsibilities while employed in an assistantship/fellowship? If yes, please describe: ___________________________________________________________________________
___________________________________________________________________________

 

Educational Background

College or University: _________________________________________________________

Address: ____________________________________________________________________

Dates Attended: ______________________________________________________________

Degree: _____________________________________________________________________

 

 

Employment History: List any full-time or summer employment and briefly describe your responsibilities.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

Include the hours per week and the dates of employment (use additional sheets if necessary).

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please list any extracurricular activities you have participated in and awards and honors you have received during your college career.

____________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________

 

Please list three people whom we may contact concerning your qualifications for the position for which you are applying.

 

Name, Occupation or Title, Address, Phone:

 

1.

 

 

 

2.

 

 

 

 

3.

 

 

 

 

Signature____________________________________________________

 

An application for admission or readmission to the Graduate School, plus all required transcripts and similar documents, must be on file to support the application for a graduate assistantship.

Submit application to:

EXPW Department

Box 5043

Tennessee Technological University

Cookeville, TN 38505

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