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Application for Graduate Teaching Assistantship

Academic Year: 2007-2008

Due Date: April 1, 2007

Academic Status

This application is for:

Student Name:

Student ID:

Student Contact Information:

Address Line 1:

Address Line 2:

City:    State:   Zip Code:

Email:

Phone:

Advisor Name:

Program:

Status: Full-Time (Since: )   Part-time

Start Date for Program:

Current GPA:

Number of Credit Hours Completed in the Program (including CS 399, and including credits to be completed this semester):

Number of Credit Hours Remaining to Be Completed after this Semester:

Support Information

Requested Support for Next Academic Year:

Wages/Stipends (in $):    Credit Hours:

Current and All Past Support from the CS Department[2]:

Wages/Stipends (in $):    Credit Hours:    Semester:    Academic Year:   

Wages/Stipends (in $):    Credit Hours:    Semester:    Academic Year:   

Wages/Stipends (in $):    Credit Hours:    Semester:    Academic Year:   

Wages/Stipends (in $):    Credit Hours:    Semester:    Academic Year:   

Wages/Stipends (in $):    Credit Hours:    Semester:    Academic Year:   

Wages/Stipends (in $):    Credit Hours:    Semester:    Academic Year:   

Guaranteed support for Next Academic Year from External Sources[3]:

Wages/Stipends (in $):    Credit Hours:    Source:

Wages/Stipends (in $):    Credit Hours:    Source:

Wages/Stipends (in $):    Credit Hours:    Source:

Current and Past External Support while in the Current Program:

Wages/Stipends (in $):    Credit Hours:    Source:    Semester:   

Wages/Stipends (in $):    Credit Hours:    Source:    Semester:   

Wages/Stipends (in $):    Credit Hours:    Source:    Semester:   

Wages/Stipends (in $):    Credit Hours:    Source:    Semester:   

Wages/Stipends (in $):    Credit Hours:    Source:    Semester:   

Wages/Stipends (in $):    Credit Hours:    Source:    Semester:   

Academic Progress

For doctoral students:

Provide the Committee with information on all the requirements you have completed since joining the program.

Core Courses Completed and what Semester (For direct doctoral only):



Preliminary Exam: Not Completed    Completed (Semester: )

Qualifying Exam: Not Completed    Completed (Semester: )

Dissertation Proposal: Not Completed    Completed (Semester: )

List of Courses Completed (including those to be completed this semester). For each course, provide the semester when you took it, and the grade you received:



Total Dissertation Research Credits Completed:

For MS students:

Total Course Credits Completed:

Research

Describe the research you have completed.



Publications

List all your publications, technical reports, invention disclosures and patent applications, since joining the program. Specify whether the documents are in preparation, in review, accepted or have appeared. For patents, indicate if they have been filed and/or granted.



Presentations

List all research presentations and demos you have given since joining the program.



Teaching/Lab Assistance/Grading

If you have been a TA, list in reverse chronological order (most recent first) the courses you have TAed, and the semesters, while in this program. Also, if course evaluations from students are available for the courses you have taught, give the overall evaluation score for each course, and attach a copy of the evaluations.



Service

List any service activities you have been involved in, including departmental activities such as committee participation, reviewing for journals or conferences, and community activities such as ACM Student Chapter office bearing.



Other Information

You may provide any other information you think might be helpful to the committee in evaluating your suitability for support.



Certificate

By writing your name and dating below, you will be certifying the accuracy of the information that you provide in this application, and accepting the terms of the statement below:

I certify that the information I provide in this application is accurate, and understand that I must immediately notify the CS Department of any other new support I receive while obtaining support from the CS Department.

Name:    Date:





You should arrange the following documents for a renewal application. If you have not served as a TA before, you should arrange at least two recommendation letters (one must be from your advisor) directly submitted to hchoi@gwu.edu.

[1] Throughout this form, please take as much space as necessary.

[2] This is funding from the CS Department in the form of teaching assistantship or grading compensations.

[3] External sources include: CS faculty, all other sources within GW, and all sources outside GW such as scholarships, fellowships, research assistantships, employer-funded education, etc.




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