Graduate Teaching Associate Application
Please print this form and send it to the Department of Spanish and Portuguese,
The Ohio State University (298 Hagerty Hall, 1775 College Road, Columbus,
Ohio 43210) Fax: 614-292-7726. Note that an Associateship cannot be offered to
anyone who has not yet been admitted for graduate studies
1. Name in full: (last, first, middle initial):
2. U. S. Social Security Number:
3. Address: street number/ city/state/zip code/ country:
4. Phone number:
Fax:
E-Mail:
5. Country of citizenship:
Type of visa (if known):
6. Quarter/Year of proposed entry: Autumn 20_____
7. College / University Education:
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Name of School
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Location
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Major
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Dates attended
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Degree and Year received
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8. Previous teaching experience, if any, including any special qualifications:
9. Indicate the language you know and your proficiency levels in each:
10. Summarize your interests and experience in the fields of Hispanic Linguistics, and/or Hispanic Cultures and Literatures, and your future plans.
11. Signature:
Date:
