TEXAS TECH UNIVERSITY
Department of Classical and Modern Languages and Literatures
DEPARTMENTAL APPLICATION FORM:
TEACHING ASSISTANT OR GRADUATE PART-TIME INSTRUCTOR, SPANISH
Name
____________________________________ Social Security Number______________________Present Address ______________________________________________________________________
____________________________________________Zip Code ____________
Permanent Address ___________________________________________________________________
____________________________________________Zip Code ____________
Telephone _______________________ E-mail _________________________________
Citizenship Information:
U.S. Citizen ___
Foreign Citizen _______________
Legal Immigration Status________________ Immigration Number _________________
Degree Sought: M.A. _____ Ph.D. _____
When You Wish to Begin: Year____ Fall____ Spring____ Summer I____ Summer II____
Education:
Institution: ______________________________________ Dates ___________ Degree
__________
Institution:______________________________________ Dates ___________ Degree __________
Institution:______________________________________ Dates ___________ Degree _________
Teaching Experience:___________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
___________________________________________________________________________________
Other Work Experience:________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________________________
Return this form along w/ other application materials to:
Dr. Susan Isabel Stein
Dept. CMLL, ms. 2071
Texas Tech University
Lubbock, TX 79409-2071
Texas Tech University is an Equal Opportunity Employer
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