DEPARTMENT OF MATHEMATICS COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK UNDERGRADUATE TEACHING ASSISTANT lll APPLICATION (CC, SPS, GS and SEAS STUDENTS ONLY) Have you read the Undergrad Teaching Assistant Handbook? Check one: Mr Ms First Name: __________________ CU ID (PID): C00__________ UNI: ____________ Yes Date: ________ No M.I. ___ Last Name: _______________________ Email: _______________________________________________ Permanent Home Address: ____________________________________________________________________________ Mailing Address: ____________________________________________________________________________________ High School Name and Location: ________________________________________________ Year graduated: ________ Do you already have an SSN# (check one): Yes School (check one): CC SPS GS No SEAS Daytime Phone #: ________________________ Registered Full Time? Yes No Major(s): _______________________________ Concentration(s): _____________________________________ _______________________________ _____________________________________ Have you worked on campus before? Yes No Class standing (by credits earned): Freshman Sophomore If YES, which department: ________________________ Semester last worked at above dept: _______________ Junior Senior Course(s) preference to TA for: ____________________ ____________________ ____________________ ___________________ ____________________ ___________________ Instructor(s) preference to TA for: ____________________ ____________________ Math Courses taken at COLUMBIA UNIVERSITY Course Name / Number Semester Instructor Final Grade Experience: Please write a short statement of why you feel you are qualified/well suited for this position (e.g., reference of previous experience as a teaching assistant or tutor service learning experience teaching related coursework or research with a faculty member, etc.). If you have been a teaching assistant for Mathematics Department at Columbia University, give the name of the instructor, the semester and the course to which you were previously assigned: References (2) 1. Name: ___________________________________ Phone # or Email: ________________________ 2. Name: ___________________________________ Phone # or Email: ________________________ You will be contacted by phone or email to set up an interview, should your application be selected for consideration to a Teaching Assistant lll position. You will receive a letter or email if the department cannot consider your application at this time. DEPARTMENT USE ONLY: Notes: DECISION: __________________________________ Date: ____________________ ASSIGNED TO: __________________ ___________________ Course Instructor
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