PERSONAL INFORMATION
RIT Email Alternate Email
Last Name First Name UID#
Local Address
Male Female
Cell Phone
Country of Citizenship
ACADEMIC INFORMATION
Class Status Grad Ph.D.
Major (Please list complete name): College Please select CAST CIAS COB COLA COS GCCIS KGCOE NTID Your current GPA:
GENERAL INFORMATION
Have you ever been involved in a college judicial action? Yes No If yes, please explain the situation and any sanction imposed:
Do you use Interpreting Services? Yes No
Will you be applying for a co-op in 2123? Yes No
Will you be applying for a co-op in 2124? Yes No
Will you be staying in Rochester, NY during the summer quarter? Yes No
This position requires attending two PAL training sessions spring quarter. Would you be able to? Yes No
If no, please explain:
ESSAY QUESTIONS:
1. Why are you interested in the Web Program and Graphic Design GA position?
2. Please share an experience which demonstrates your ability to interact effectively and work with diverse populations. 3. Describe your experience and skills related to web and/or print design. 4. What challenges do you anticipate facing as a graduate assistant? In what ways will you address these challenges?
5. What additional skill sets (non-web/print design related) would you bring to the assistantship to be an effective employee?
6. What skill set would you bring to the assistantship to be an effective employee?
REFERENCES
Please list the names and contact information for two references. Please note that one reference must be from a faculty/staff member on the RIT campus. The other reference should be someone who can speak to your qualifications as a potential RIT student leader
Name: Email: Phone:
I, (your name) understand that by signing this form, I declare all information given to be accurate and complete, and that I have read and understand the GA job posting. I also give the International Student Services permission to verify my employment eligibility, GPA and student conduct record. In addition, I give the ISS permission to post my name, e-mail address, photo and major on the ISS web site.
