Graduate Student Assistantship Application

Name:

Today's Date:

Date of Birth:

Home Address:

Present Address:

City, State, Zip

Country:

Address to which communication should be sent:

If other, please list that address:

Desired time for assistantship to begin:

Year:

I have attending the following universities [list college attended; dates inclusive; degree received; gpa for each]:

Are you currently enrolled in the University of Georgia Graduate School?

Have you been admitted to the University of Georgia Graduate School?

If yes, for entrance when?

If you have taken the GRE during the past six years, list your scores:

Verbal:

Quantitative:

Total:

I plan to take the GRE on:

Honors and other evidence of high scholarship:

In support of the application, I wish to make the following statement concerning my personal objectives in doing graduate study. (Include subject areas of main interest):

The application should be supported by letters from individuals qualified to give judgment on the scholarly attainment and promise of the applicant. It is the applicant's responsibility to see that these letters are sent to the graduate coordinator. Please use the forms supplied for this purpose in the application booklet.

The following three persons have been asked to send letters in support of my application.

By submitting the form electronically, you are agreeing to the following statement: "If I accept a Graduate Assistantship at the University of Georgia, I agree to abide by all policies and regulations which apply to such assistantships."