Graduate Study in Physics and Astronomy - San Francisco State
University
Applicant Information Form for Spring/Fall 2006
Print a blank copy of this form, fill in the information requested, and
send
in with the rest of the application materials. (A hard copy of this
form
must be sent - electronic submission is not available). Be sure to save
a
copy for your files.
Personal Information
Last Name:___________________First Name:________________ Middle
Name:__________________
Street
Address:____________________________________________________________________
City: _______________State/Province:_____________________
Country: _____________Postal/Zip Code:_______________
Social Security Number (if applicable):_______________________
Telephone: (____ )_________________________
E-mail Address:_____________________________
Education
Your Undergraduate Degree
Subject:_______________
Awarded: from: ___________________________College/University
date (month/year)_____________ GPA_____________
Were you ever a participant in an LSAMP
program?
_____________If so, where?__________________________________
Research Interest
Are you interested in applying for a Teaching Assistantship?_______________________________
If so, please be sure that you have two letters of recommendation sent
to
the department chair. These letters should specifically comment
on
your teaching experience or potential as a teaching assistant.
The deadline for applications for TA positions for Fall 05 is March 15
2005.