ONLINE APPLICATION FOR GRADUATE ASSISTANTSHIP

All required fields are indicated by asterisk " * ".

Voluntary information fields are indicated by "**" and are to be used in a nondiscriminatory manner consistent with applicable civil rights laws for reporting and statistical purposes only and cannot affect your eligibility for admission.

For assistance completing application call at 479-968-0398 between 8:00 a.m. - 5:00 p.m. CST.

Personal

Date  *   (mm/dd/yy)
  Application will remain active for one year from date of application.
Name  *  
Intended Major                *

Undergraduate Major
  *     

Undergraduate Minor
      
Graduate Admission * (Have you been admitted to the Graduate School at this University?)
Graduate Enrollment * (Are you currently enrolled in any graduate programs at this university?)
Resident of Arkansas *
Present Address  *  
Permanent Address  *  

Home Telephone  (U.S. Only)

  ( ) - -     

Office Telephone  (U.S. Only)

  ( ) - -     

Home Telephone  (International Only)

       (For applicants residing outside the United States.)

Office Telephone  (International Only)

       (For applicants residing outside the United States.)

Email Address
      
Birth Date (mm/dd/yy)  * / /
Student T Number   - -   (If applicable)
Gender **
Computer Experience * Yes No WP Excel dBase Other

  (If you have answered "Yes", please check all that apply.)

Education
Beinning with the most recently attended, please list all colleges and universities.

Name of College or University
Complete Mailing Address
Date Attended
(mm/yy)-(mm/yy)
Major
Degree Conferred Date (mm/yy)
-
-
-
-


Employment History
Listing your most recent position first, tell us about your experience.

Position
Company
Address
Employment Dates (mm/yy)
  -
  -
  -


List Any Professional Achievements




List Your Extra-Curricular Activities




Resume (Cut & Paste)




References
List three persons and include their address, telephone number, and e-mail address.

Name
Address
Telephone
Email
( )- -
( )- -
( )- -

List Any Academic Honors
Honorary Degrees, Scholarships, Prizes, Fellowships



Note: Complete official transcripts (graduate and undergraduate) and immunization records must be filed with the Graduate Office before this application can be processed. Send to the Graduate School, Tomlinson Building Room 113, 1507 North Boulder Avenue, Russellville, Arkansas 72801, U.S.A.





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All RIGHTS RESERVED.
All trademarks herein belong to their respective owners

This page was updated February 01, 2008

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