OSU
Application
for Employment
as a
Teaching
Assistant/Associate
in the
Department
of English
Oklahoma State University, in
compliance with Title VI and Title VII of the Civil Rights Act of 1964 and
Title IX of the Education Amendments of 1972 (Higher Education Act) does not
discriminate on the basis of race, color, religion, national origin, sex,
status as a veteran, qualified handicap or disability in any of its policies,
practices, or procedures. This provision includes but is not limited to
admissions, employment, financial aid, and educational services.
Name (as it appears on Social Security Card):______________________________________________
Social Security No.: ______________ Home Phone: ______________ Business Phone: ____________
Mailing Address: __________________________________________ E-mail: ___________________
Permanent Address___________________________________________________________________
Citizenship Status: ¨ U.S. Citizen ¨ Resident Alien/Resident Alien Card
¨ Non-Resident Alien/Work Permit
International Students, please supply:
TOEFL score_________ TWE score _________ TSE score_________
Program: ¨ MA ¨ PhD
Degree Area: ¨ Literature ¨ Screen Studies ¨ TESL/Linguistics ¨ Tech Wr. ¨ Creative Wr. ¨ Comp/Rhet
Check the courses that you are qualified to teach (Meeting applicant's preferences is dependent upon program needs.) Check any that apply-please rank them if you check more than one course.
_____ Freshman Composition _____ Int'l Composition
_____ Technical Writing _____
Check term you would like to begin an assistantship: ¨ Summer ¨ Fall ¨ Spring year______
Education
List college/university, professional school, graduate school, and any other significant training:
Institution Dates Attended Major and Degree GPA
Teaching/Tutoring Experience
If applicable, briefly describe your experience as a teacher or tutor. How long, in what capacity, and what subjects did you teach? Describe the nature and extent of your responsibilities. Where did you do this work?
References
Please list names, titles, addresses, and telephone numbers of three persons who know about your teaching/tutoring qualifications.
Career Objectives
Briefly state your career objectives.
Employment History (not related to teaching/tutoring.)
Please feel free to attach a résumé.
Last/Present Employer ___________________________________ Phone Number _______________
Address ___________________________________________________________________________
Type of Business _______________________________ Job Title __________________________
Supervisor's Name ______________________________ Reason for Leaving __________________
Work performed
Employer ____________________________________ Phone Number _______________
Address ___________________________________________________________________________
Type of Business _______________________________ Job Title __________________________
Supervisor's Name ______________________________ Reason for Leaving __________________
Work performed
May we contact your current employer for a reference? ¨ Yes ¨ No
May we contact your previous employer(s) for a reference? ¨ Yes ¨ No
Additional Information
Below or on a separate sheet of paper, add any information you wish to offer to support your application (scholarships received; memberships in learned, professional, or honorary societies; publications; awards; etc.) You may attach a résumé.
I understand that
misrepresentation of fact in this application will be sufficient grounds for
(1) cancellation of job offer without notice, or (2) termination of my
employment anytime hereafter. I hereby authorize
DATE _________________ SIGNATURE _____________________________________________