Undergraduate Teaching Assistant Fellows Program - Fall 2012

Please fill out all questions. You will not be considered if the application is not complete.

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* 1. Personal Information

First Name

Last Name

UID

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* 2. Present Address

Address:

Address 2:

City/Town:

State:

ZIP Code:

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* 3. Address Fall 2012 (if different from present address)

Address:

Address 2:

City/Town:

State:

ZIP:

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* 4. Email Address

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* 5. Email address at which you can be reached over the summer (if different from above).
YOU MUST BE AVAILABLE FOR EMAIL COMMUNICATION OVER THE SUMMER.

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* 6. Daytime phone number

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* 7. Campus phone number (if different from above)

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* 8. What is your academic year?

Freshman

Sophomore

Junior

Senior

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* 9. Your Major

BSCI

CHEM

BCHM

Other

Other (please specify)

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* 10. Your overall GPA. Unless there is an exceptional reason, a GPA of 3.0 or higher is required for being a UTA. No UTA will have a GPA below 2.8.

2.8 - 3.0

3.0 - 3.5

3.51 - 4.0

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* 11. For which course(s) would you like to be considered? See the program description for course information. BSCI UTA’s ARE NOT ALLOWED TO BE A UTA IN ANY OTHER COURSE, IN THIS PROGRAM OR ANY OTHER.

BSCI105 Principles of Biology I Lab

BSCI106 Principles of Biology II Lab

BSCI135 Amazing Green, Plants that transformed the world. Non-majors I-course Lab

BSCI189I Race, Genomics and Human Evolution. Non-majors I-course Lab

BSCI201 Anatomy & Physiology I Lab

BSCI202 Anatomy & Physiology II Lab

BSCI207 Principles of Biology III Lecture

BSCI222 Principles of Genetics Discussion

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* 12. Have you completed the course(s) for which you are applying? IN MOST CASES EXCEPT NON-MAJOR COURSES THE UTA WILL BE REQUIRED TO HAVE COMPLETED THE COURSE WITH A B OR BETTER.

Yes

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* 13. If yes, what grade did you earn? A GRADE OF B OR HIGHER (NOT B-) IS REQUIRED TO BE A UTA IN A COURSE.

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* 14. If no, what particular background do you have to recommend you to this course?

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* 15. Indicate any other UTA programs for which you are applying for Fall 2012.

UNIV

CHEM

MICB

CTE

Other (please specify)

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* 16. Have you had previous UTA experience in any program?

Yes

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* 1. Personal Information

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* 2. Present Address

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* 3. Address Fall 2012 (if different from present address)

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* 4. Email Address

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* 5. Email address at which you can be reached over the summer (if different from above). YOU MUST BE AVAILABLE FOR EMAIL COMMUNICATION OVER THE SUMMER.

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* 6. Daytime phone number

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* 7. Campus phone number (if different from above)

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* 8. What is your academic year?

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* 9. Your Major

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* 10. Your overall GPA. Unless there is an exceptional reason, a GPA of 3.0 or higher is required for being a UTA. No UTA will have a GPA below 2.8.

Question Title

* 11. For which course(s) would you like to be considered? See the program description for course information. BSCI UTA’s ARE NOT ALLOWED TO BE A UTA IN ANY OTHER COURSE, IN THIS PROGRAM OR ANY OTHER.

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* 12. Have you completed the course(s) for which you are applying? IN MOST CASES EXCEPT NON-MAJOR COURSES THE UTA WILL BE REQUIRED TO HAVE COMPLETED THE COURSE WITH A B OR BETTER.

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* 13. If yes, what grade did you earn? A GRADE OF B OR HIGHER (NOT B-) IS REQUIRED TO BE A UTA IN A COURSE.

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* 14. If no, what particular background do you have to recommend you to this course?

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* 15. Indicate any other UTA programs for which you are applying for Fall 2012.

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* 16. Have you had previous UTA experience in any program?

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* 17. If yes, indicate program, course, and semester(s)

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* 18. What, if any, previous teaching experience have you had, aside from being a UTA?

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* 19. Fall 2012 Courses for which you are registered (include Course, Section, Day/Time)

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* 20. Name and contact information for a science faculty or graduate student in CMNS who can serve as a reference.

* 5. Email address at which you can be reached over the summer (if different from above).
YOU MUST BE AVAILABLE FOR EMAIL COMMUNICATION OVER THE SUMMER.