INSTRUCTIONS FOR ASSISTANTSHIP APPLICATION
Eastern Illinois University
Graduate School and Research, Main 206
Charleston, Illinois 61920
1. Complete both copies of the application and one copy of the "Personal Statement of Goals" form and return the completed forms directly to the unit head of the department/ school office to which you are applying.
2. You must have on file in the Graduate Office an application for admission as a degree-seeking graduate student before an assistantship contract can be offered.
3. Official transcripts (specifying all coursework completed to date) from each community college, senior college, university, graduate and/or professional school which you have attended must be on file in the Graduate Office. Note: If you have not yet completed a four-year baccalaureate degree program, an official transcript showing the receipt of such a degree must be on file in the Graduate Office prior to the start of your first term at EIU. (Transcripts of work of work at EIU can be obtained by the Graduate Office and need not be forwarded by you.)
4. The appropriate admissions test score(s) should be forwarded to the Graduate Office as soon as possible. Some departments may require test scores before consideration is given to an application.
5. International students must have on file official test scores (TOEFL and GRE, GMAT, or MAT as specified on the Graduate Admission Application), a completed financial affidavit, and complete transcripts before an assistantship will be offered.
6. Some departments may require additional information (such as portfolios, letters of recommendation, personal interviews, etc). You should correspond directly with the department concerning additional requirements.
7. Assistantships are awarded only for the time period specified by the contract. An extension or renewal is not guaranteed. Students may reapply to the appropriate department.
8. Application deadline varies by program. Further information may be obtained by writing directly to the appropriate chairperson.
APPLICATION FOR GRADUATE ASSISTANTSHIP
EASTERN ILLINOIS UNIVERSITY GRADUATE SCHOOL
LAST NAME |
FIRST NAME |
MIDDLE |
MADIEN (OPTIONAL) |
SOCIAL SECURITY #:____-___-____ |
SEX: ___Female ____Male |
LOCAL ADDRESS:
Street (R.R.) | Apt # | City | State/Country | Zip |
Phone (___) ____-_______
PERMANENT ADDRESS:
Street (R.R.) | Apt # | City | State/Country | Zip |
Phone (___) ___-_______
CITIZENSHIP (country): _______________ |
DATE OF BIRTH: ___-___-___ |
I am applying in the Department/College of: __________________________
for: ___ Academic Year 19__-__ |
___ Spring Semester 19 ___ |
___Fall Semester 19___ |
___ Summer Term 19 ___ |
If a full-year award is not available, would you accept a one-semester award?
____Yes |
____No |
If Yes, which semester?________________ |
ACADEMIC TRAINING: (List all 2-year colleges, 4 year colleges, universities, graduate
and professional schools which you have attended.)
Institution |
Dates Attended |
Degree |
Major Field |
Major GPA |
Overall GPA |
REFERENCES: List the information below for at least three persons familiar with your capability for
graduate study and for an assistantship.
Name |
Professional Address |
Phone # |
EXPERIENCE: Teaching, research, professional, business, military, etc. Account for your time since
completion of your bachelor’s degree to present, other than time spent in
academic training.
_____________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
I certify that the information provided on this application is correct and complete.
Signature: ______________________ Date: ____________
Return the completed application forms in duplicate along with your personal goals statement to the department/school or office to which you are applying.
NOMINATION
I hereby nominate_______________________________
for an assistantship for:
___Academic Year 19__-__ |
Spring Semester only, 19__ |
___Fall Semester only, 19__ |
Summer Semester only, 19__ |
To be assigned to:
Department |
School |
Administrative Office |
The nominee has a cumulative GPA:
______(undergraduate) | ______(graduate) |
The stipend will be paid from:
___I. Appropriated funds at the rate of $____ per month.
___II. Local / Agency / or Bond Revenue funds at the rate of $______ per month.
EIU Account #______________
___III. The following external agency will pay
$______ per month for ____ months: ______________
I understand that this assignment will conform to the regulations of Eastern Illinois University and the Board of Governors of State Colleges and Universities.
Department Chairperson ______________________ | Date ________ |
Dean / Director ______________________ | Date ________ |
For Graduate Office Use Only
Entered on PPP_________________
|
Contract control #_______________ | Payroll notified__________________ |
STATEMENT OF PERSONAL GOALS
(Graduate Assistantship Application Supplement)
Eastern Illinois University Graduate School
Please provide a statement of your personal goals in graduate study including how these relate to
your future professional objectives. In order to better evaluate your application, please indicate your expectations of the graduate degree program at Eastern Illinois University.
NAME: (Please print or type)______________________________
SIGNATURE:________________________ | DATE:___________ |