Application for GRADUATE TEACHING ASSISTANTSHIP

Must be ECE or CS Graduate Student to apply

School of Electrical Engineering and Computer Science

1148 Kelley Engineering Center, Oregon State University

Phone: 541-737-3617; Fax: 541-737-1300; http://eecs.oregonstate.edu/

Complete and Submit to Nicole Thompson, KEC 1148, or E-mail

Student/Applicant Information
First Name / MI / Last Name / OSU Student ID #
Phone
Current Address
E-mail
Current Degree/Academic Information
Major / Degree Program
CS / ECE / M.S. / Ph.D.
Major Advisor / GPA (out of 4)
International Students Only
GRE Scores / V / Q / A
TOEFL Score
Degree(s) Received
Degree / Institution / Major / Date Granted / GPA/Scale
TA Assignment Request
Academic Year / Term / Fall / Winter / Spring
TA Assignment Preference (List courses in order of preference)
Course / Course
1. / 4.
2. / 5.
3.

Prior TA Experience at OSU

Course / Term/Year / Course / Term/Year
1. / 4.
2. / 5.
3. / 6.

Prior TA Experience at other institution(s)

Course(s) / Term/Year / Institution

Describe other relevant qualifications you have that would help us in the decision process

Applicant’s Signature / Date

Updated 2/13 (L://forms/Grad Forms/GTA application.doc)