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Application for a Teaching Assistantship
or Part-Time Instructorship


Personal Information:
First Name:    MI:   

Last Name:

Date of Birth (MM/DD/YYYY):
Birth Place:
City:
State:
Country:

Phone: () -
Email Address:


Address Information:
Street Address:
City:
State or Province:
Country:
Zip code:


Education Information:
Bachelor's Degree:
Date (MM/YYYY):
institution conferring degree

Master's Degree:
Date (MM/YYYY):
institution conferring degree

Proposed Degree at Texas Tech:
Major Field of Interest:


Graduate Record Exam Scores (if any):
Verbal:
Quantitative:
TOTAL:

Date of Graduate Record Exam (MM/YYYY):

Awards, Honors, Publications:



Reference Information:
Reference (Name, title, and address of three persons. You should request that they send letters to the Graduate Director, whose address is given below.)



Transcripts of your academic work, as well as your Graduate Record Examination score (if available) should be sent to the Director of Admissions. The Communication Studies Graduate Director should be sent three letters of reference, transcripts, a copy of your GRE scores if available, your TOEFL scores (if available), and a one-page statement of your "proposed professional goals."

Graduate Director
Department of Communication Studies
P.O. Box 43083
Texas Tech University
Lubbock, Texas 79409-3083


Date (MM/DD/YYYY):
I certify that the provided information is correct and understand that falsification of any of the provided information may void my application. Yes   No