APPLICATION FOR GRADUATE ASSISTANTSHIP

Division of Public and Nonprofit Administration

Date________________________

Mr./Mrs.______________________________________________ SS#_________________________

(last) (first) (middle/maiden)

Permanent Address______________________________________________________________________

(street) (city) (state) (postal/zip code)

Telephone Number______________________________________________

Email Address _________________________________________________

Are you a U.S. citizen? Yes______ No______

If not, what nationality?_________________________________________________

Have you ever been in the military service? Yes______ No______

Education: Include all colleges, universities, and special schools.

Name of School

Address (City, State, Zip)

Major

 Degree/Certificate

Year Earned

 

        

 

 

        

 

 

        

 

 

        

 

Overall undergraduate grade point average (4-point scale)__________________

Overall graduate grade point average (4-point scale)_______________________

Graduate Record Examination (GRE) scores:

Verbal__________ Quantitative__________

Millers Analogy Score (MAT) Score: ______________

Graduate Management Admissions Test (GMAT) score:_______________________

 

Employment Experience: Beginning with most recent employer, please indicate your work history for the past five (5) years.

Name of Employer

Address (city, state, zip)

Supervisor’s Name

Telephone Number

Brief Description of Duties

 

 

        

 

 

 

        

 

 

 

        

 

 

 

        

 

Briefly explain any other special research skills, teaching and computer qualifications you may possess:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

The above statements are true to the best of my knowledge.

_______________________________________________________

(Signature) (Date)

Please furnish two letters of recommendation from persons qualified to comment on your qualifications as a graduate assistant. Recommendation letters should be sent directly to:

Division of Public and Nonprofit Administration

The University of Memphis

McCord Hall, Room 136

Memphis, TN 38152

Office phone (901) 678-3360

Office fax (901) 678-2981

E-mail address: dnrrstrr@memphis.edu

 

APPLICATION FOR FALL 2007 IS DUE BY JUNE 1, 2007

Student Must Be Admitted into the MPA program by this deadline.