School of Science and Technology

TAship Request Form

Note: If your CGPA is less than 3.50 or you have an academic dishonesty or disciplinary case against you, you are Not Eligible for TAship.
Student ID: Student Name:

Major:

CGPA

Status: Graduate [ ]

Undergraduate Senior [ ]

TAship Request for Courses

Course# 1st Preference 2nd Preference 3rd Preference Course Title Course Grade

Previous TA Experience
Course# Course Title Instructor Semester and Year

____________________________________ Signature of the Applicant Date FOR OFFICIAL USE ONLY Decision: Hire [ ] Dont Hire [ ]

Rationale for the Decision

______________________________ Name

____________________ Signature

______________ Date