GA Application Form

Please Note: If you resign or are terminated from a student employment position in the Department of Housing & Residence Life you may not apply to work within the department again for another six months.


* First Name:
* Last Name:
Middle Name:
* Street Address:
* City:
* State:
* Zip Code: (5 digits)
* Email Address: (username@yourisp.com)
* Telephone Number where you prefer to be contacted: (xxx-xxx-xxxx)
* Type of phone:
EDUCATIONAL BACKGROUND

Name of Undergraduate Institution:
Name of other Undergraduate Institution: (if applicable)
* Major Course of Study:
Minor(s):
* Graduation Date: (MM/YYYY)
If previously enrolled in a graduate degree program, please complete the following 5 questions:

Graduate Institution(s):
Program of Study:
Dates enrolled: (MM/YYYY - MM/YYYY)
Degrees sought/obtained:
Graduation Date: (MM/YYYY)
APPALACHIAN STATE UNIVERSITY GRADUATE SCHOOL INFORMATION

Date Application Submitted: (MM/YYYY)
Admitted:
Department Applied To:
Program of Study:
Degree Sought:
Expected Graduation Date: (MM/YYYY)
Date of GRE Participation: (MM/YYYY)
Scores Submitted:
* POSITIONS APPLYING FOR

Check all positions for which you wish to be considered: (CTRL + click for multiple selections)

(Not all positions are available every year.)

* Authorization for Release of Information

By typing my name on this application below I attest that, to the best of my knowledge, all information provided by me in this application is truthful and accurate. I also acknowledge that I wish to actively pursue a position as indicated on this application and authorize the person(s) conducting said searches to obtain information about me as needed to verify my eligibility for such employment. I understand that this may include contacting references, the release of my student conduct or judicial records from any institutions I have attended and verification of admission to a graduate program at Appalachian State University.