Department of Economics



Department of Economics Illinois State University

UNDERGRADUATE TEACHING ASSISTANTSHIP APPLICATION

INSTRUCTIONS: Complete and submit this application to the Department of Economics (STV 425). Please type (or print) the information requested. Successful candidates normally have a GPA of 3.0 or higher.

I. Name: _________________________________ UID:_____________________

Local Address:______________________________ Local Phone: ____________

(street or dormitory) (city)

Home Address: _____________________________________________________

(street) (city & state) (ZIP code)

Have you worked on campus before? YES NO

Have you completed an I-9 form? YES NO

Major: ______________________ Semester Hours Completed in Major: _______

Class Rank: FR SOPH JR SR Overall GPA: _____________

List all economics courses completed and grades received.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

II. Recommendations requested from the following two faculty members should be sent directly to the Chairperson of the Department of Economics.

Faculty Name: ______________________ Department: ________________

Faculty Name: ______________________ Department: ________________

III. Work Study Eligibility Information:

_______ YES ______NO Have you applied for any financial aid at ISU for the 20___ academic year?

_______YES ______NO If you have applied for financial aid at ISU, have you been notified of an award?

(OVER)

IV. Statement of qualifications and reasons for applying for the UTA position including a statement of how the UTA experience would be related to future educational or vocational/professional goals.

Illinois State University is an Equal Opportunity/Affirmative Action Institute in accordance

with Civil Rights legislation and does not discriminate on the basis of race, religion, national

origin, sex, age, handicap or other factor prohibited by law in any of its educational programs,

activities, admissions or employment policies. Concerns regarding this policy should be referred

to the Affirmative Action Office, Illinois State University, Normal, Illinois 61790-1280, 309/438-3383.

The title IX Coordinator and the 504 Coordinator may be reached at the same address.

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