The University of Georgia
Athens, Georgia

Application for Assistantship

Although a person may apply for more than one type of award, this form is to be used only for making application directly to this department. This application must be sent directly to the Graduate Coordinator, Dr. Khaled Rasheed. Only applicants who have been formally accepted for admission into graduate study at The University of Georgia will be considered for an Assistantship. A sample of your scholarly writing on any subject, in English is required for all of our applicants. Please mail this sample of your writing directly to our Graduate Coordinator.

Social Security Number_____________________ Date______________

Full name (Mr. or Ms.)(circle one)___________________________________________________

Date of Birth____________

Home Address____________________________________________________________________

Present address___________________________________________________________________

Address to which communication should be sent after the award date (February 15)

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Telephone number where you may be reached after February 15___________________

I propose to work toward_____________degree in (major)______________________

I have attended the following colleges or universities:
College Attended------------------Date Inclusive----Degree Received
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I am currently enrolled at The University of Georgia Graduate School: yes___ no___

I will be admitted to the Graduate School for entrance____________Semester, 20____

I have taken the below during the past six years, and my scores are listed below:

Graduate Record Examinations, Verbal______ Quantitative______ Analytical______

Graduate Management Admission Test, Total Score______

Other_________________ Score ______

I am planning to take the__________on (date)__________

Honors and other evidence of scholarship:

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In support of this application, I wish to make the following statement concerning my personal objectives in doing graduate work (attach additional sheet, if necessary):








The following three persons have been requested to submit reference forms or write letters of recommendation on my behalf and to send the forms or letters directly to the departmental graduate coordinator. (Letters of recommendation or reference should be written by a person qualified to give judgement on the scholarly attainment and promise of the applicant. It is the applicant's responsibility to see that these letters are sent to the graduate coordinator in the department to which he/she has applied.)

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If I accept a Graduate School Assistantship at The University of Georgia, I agree to abide by all the policies and regulations which apply to such assistantships.

Signed___________________________________________________________________________