Graduate Teaching Assistant Application (To edit open the form in Adobe Reader or Adobe Acrobat)

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1 GRADUATE TEACHING ASSISTANT APPLICATION P a g e 1 Graduate Teaching Assistant Application (To edit open the form in Adobe Reader or Adobe Acrobat) Full Name: Current Address: Permanent Address: Home Phone: Mobile Phone: USF Student ID Number: Are you a Florida Resident? I am applying for a graduate assistant position in the following programs: Special Education Foreign Language ESOL Reading Education Science Education Social Science Education English Education Early Childhood Education Elementary Education Math Education (elementary and Secondary) Internship Supervision Type of classes you prefer to teach (rank 1 st, 2 nd, and 3 rd choices)? Face-to-face Class Field Supervision Distance Learning Below is a list of courses taught by graduate teaching assistants. Most of the courses have multiple sections. Please check the courses you are qualified to teach or supervise. EEX 4070 Integ Exceptional Student in Reg Class EEX 4942 Practicum 1, 2, 3, 4 EDE 4942 Elem Ed Internship Level II MAE 4310 Teaching Elementary School Math I EDE 4301 Instructional Planning EDG 4909 Teacher as Researcher EDE 4940 Internship: Elementary Ed LAE 4414 Literature in Childhood Ed RED 4724 Intermediate Literacy EEC 4940 Internship: Early Childhood EEC 4203 Programs for young children

2 GRADUATE TEACHING ASSISTANT APPLICATION P a g e 2 EEC 4942 LAE 4335 LAE 4464 LAE 4530 FLE 4316 FLE 4317 TSL 4080 TSL 4081 MAT 1033 SSE 4313 SSE 4940 SSE 4334 SSE 5332 SSE 4335 SSE 5946 Internship: Field Experience II Meth Teach Eng High School Adoles Lit/Mid/Second Stu Meth of Teaching Eng Pract Lang Principles & Acquisition Teaching LEP Students K-12 Curriculum & Pedagogy of ESOL ESOL 2 Literacy Dev in ELLs Intermediate Algebra Teaching Elementary Social Sciences Internship Social Science Ed Teaching Sec Grade Social Science Meth & Strat in Soc Sci Ed Teaching Social Science Themes Practicum Social Science Ed Education: Please list all degrees with date of completion, major and specialization. Include degrees that are currently in progress Name of School/University Major/Specialization Degree GPA Dates Teaching Experience: List any teaching experience you have had at the K-12 level. Do not include internships or student teaching. Name of School City, State Grades Taught Subject Areas Dates 5. Certification & Licensure: List all certifications and licensures related to the GA position you are applying for. Name of Certificate/License Date Received Expiration Date

3 GRADUATE TEACHING ASSISTANT APPLICATION P a g e 3 College/University Teaching Experience: List any teaching experience you have had at the College/University level Name of College/University City, State Subjects Taught Dates Have you had an assistantship in the department previously? If so, what courses did you teach? Have you completed Florida s clinical training? YES List your experiences, if any, supervising interns. NO List and describe any ESOL training you have had?

4 GRADUATE TEACHING ASSISTANT APPLICATION P a g e 4 In order for the department to determine if you have the credentials to teach at the university level please list all graduate level courses that you have taken that relate to your qualifications to be a GA in a specific program area. Name of Course Institution Dates On a scale of 1 (low) to 10 (high), rate and briefly describe your ability to use instructional technology. Briefly describe your experience teaching online. Briefly describe your approach to teaching adults.

5 GRADUATE TEACHING ASSISTANT APPLICATION P a g e 5 For official use only *********************** Use the USF Graduate Assistant Appointment Guide to Determine Job Code, Title, and Level. After reviewing the candidate s vitae and transcripts, my recommendation is: Job Code: Job Title: Job Level: Identify the course(s) by number and title for which the GA is being certified: Identify the courses that count toward the 18 hours of graduate course work or equivalent in the discipline: If the student does not have the 18 credit hours in the discipline and you are credentialing them to teach, be sure to provide an Academic justification to indicate why this student should be permitted to teach. Print Name (Program Coordinator) Signature Date

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