Department of Screen Arts & Cultures
Graduate Student Instructor Application
Term:
Courses applied for in order of preference:
Are you applying for, or have you received assurance of any GSI appointment, fellowship support, or employment other than that for which you are applying here? If so, supply the details.
Employment as a GSI is governed by the GEO – UM contact and its contingent upon: (1) enrollment at the University of Michigan , i.e. Maintenance of 6 credit hours or candidacy status throughout duration of the assistantship; (2) payment of union dues/service fee. Any department offer for employment is contingent upon College and University approval and student eligibility.
Name (first middle last):
Empl ID #: ________________________ Uniqname: ________________________
SS#: ____________________________ Highest degree earned:
Address:
No. and Street:
City State Zip:
Phone: ___________________________ Office Phone: _______________________
Male ___ Female ___ Date of Birth: ___/___/___ Citizenship: ________________
School/College in which you are enrolled:
Dept/Program in which you are enrolled:
Single ___ Married ___ (if married, is spouse also enrolled?) _____
Resident Status: Resident ____ Non-resident ____
Education (give institution, degree, dates):
Area of Specialization:
*Support History: (beginning with most recent position)
Including the current term, how many terms of financial support have you received to date from any unit of the College of LS&A? Please describe the support for each of these terms, including appointment fraction (if any).
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