Application for Graduate Assistantship
(This is NOT an application for admission to graduate school.)
To the applicant: Please type or print in ink the requested information.
Social Security No. ______________________________________ Date: _______________
1. Name _____________________________________________________________________
2. Mailing Address _____________________________________________________________
Street
_________________________________________________________________________
City
State/Country
Zip
______________________________________________________
Phone
E-mail
3. Permanent Address (if different from above) _______________________________________
4. U.S. Citizen: Yes _____ No _____
5. Major interest(s) within the department ____________________________________________
6. List below in chronological order all colleges at which you have registered:
Name of School
City
State Dates
of
Degree
Date of
attendance
received graduation
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
7. List at least three references from whom you have solicited letters of recommendation. (A recommendation form is available from the History Department office or online on our Graduate Assistantship page. Letters should be sent directly from the recommender to the Graduate Advisor at the address above.)
a.
b.
c.
8. Undergraduate and graduate scholarship awards or honors received:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
9. Work experience and personal recognition:
List previous positions held, including graduate
fellowships, assistantships, part-time appointments, military service,
and non-academic positions.
Position
Employer/Address
Dates position held Full- or
part-time
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
10. If you are applying for a degree for which you
have previously been studying at another institution
but which you have not completed, please indicate your reasons for
transferring to the University of Nevada, Reno.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Submit this form along with a brief statement in which you discuss
interests, and plans for study and professional work.
_______________________________
Signature of Applicant