Items with a * indicate a required field.

Student ID (if known)
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*
*
*
*
*
Local Address
*
*
*
*
Phone *
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Hometown Address
*
*
*
*
Phone *
- -
Semesters Available to Work (Select at least one) *
*
Select your first three preferences of the available Graduate Assistant openings *
*
*
*
*
*

*

*

*