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