GRADUATE
TEACHING ASSISTANTSHIP IN COMPOSITION
APPLICATION
FORM
Southern
Connecticut State University
Department
of English
NAME_________________________________________________________________
ADDRESS______________________________________________________________
TELEPHONE_________________ EMAIL
ADDRESS____________________-_
UNDERGRADUATE EDUCATION:
DEGREE/MAJOR __________________________________________________
INSTITUTION AND YEAR GRADUATED______________________________
GRADE POINT AVERAGE (OVERALL) ________________________________
GRADUATE EDUCATION (IF APPLICABLE):
DATE MATRICULATED IN SCSU GRADUATE PROGRAM IN ENGLISH_____
DEGREE PURSUED (MA, MS, MS WITH CERTIFICATION)________________
CONCENTRATION_________________________________________________
NUMBER OF CREDITS COMPLETED______ GRADE POINT AVERAGE____
____________________________
_______________________
Signature
Date