Date _______________ Stipend ________________

Name _____________________ Social Security Number _____________

Home Address________________ Zip _____ Telephone _____________

Local Address _______________ Zip ______ Telephone _____________

Place of Birth ________________________ Date of Birth ____________

Degree(s) Received ________________ Major ________When ________

Where __________________Overall GPA _______Avg in Major ________

GMAT Score _______ Miller Analogies Test Score _______ GRE Aptitude _______

Period for Which You Want the Assistantship. (Check One and Indicate Year)

1st Summer Term ___ Year _____; 2nd Summer Term ___ Year ______; Both Summer Terms ____ Year______,

Fall Semester ___ Year _____; Spring Semester ___ Year _____; Both Semesters ___ Year _____

Major Area of Interest for Assistantship ____________________________________________

Candidate for ________________________ Degree
                             (Type of degree)

Work Experience:

____________________________________________________________________________

____________________________________________________________________________

Three References (must include name, address, and telephone number):

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Form GAAP 10/98: Previous versions no longer valid.

1.  The appointee must complete at least six semester hours of graduate work and no more than 12 hours of both graduate and undergraduate work each semester during the academic year and three hours of graduate work during each summer term to remain a GA.

2.  A graduate assistant should have a definite schedule of duties and responsibilities assigned by the dean of the college and the chair of the department in which the assistantship is held.

3.  Graduate assistants are not considered to be a part of the faculty of the university, are not entitled to faculty privileges, and will not be included in the Group Life and Hospital Insurance Program sponsored by the university.

4.  If a student is unable to complete a semester's work due to circumstances beyond his or her control, that semester may not be counted as one of the semesters included in the maximum amount of time for which he or she may hold the assistantship. In those instances, the Graduate School must be notified immediately by the department and the student of any such situations warranting consideration of this policy. Final authority for granting an exemption from counting the semester as part of time for holding the assistantship rests with the Graduate School.

5.  The assistantship will be awarded on an academic year or summer term or terms basis.  Reapplication is necessary for the student to be considered for reappointment each period.  There is no automatic renewal.

6.  The appointee must maintain a grade point average of 3.00 or better on all graduate work completed in order to remain eligible for the assistantship.

7.  The master and specialist level assistantship will have a maximum time limit of five semesters. An exception is made for students admitted based on a bachelor's degree rather than a master's degree to the Ed.S. in Psychology and Counseling; these students will have a maximum time limit of eight semesters. Ed.D. and Ph.D. assistantships will have a maximum time limit of eight semesters from the master's. Two summer terms of five weeks each will count as one semester in all programs.

8.  Graduate assistants may not be employed elsewhere on campus.

I have read and understood the regulations of the Graduate School with respect to graduate assistantships.

_______________________________________________
STUDENT'S SIGNATURE                               DATE