Department of Bioengineering: UC Berkeley

Careers in Bioengineering

Teaching Assistant Application

Please complete all fields

Last Name:
First Name:
Middle Initial:
E-mail Address:
Campus Mail Address:
Mail Code:
Lab Address:
Phone #:
Alternate Phone #:
SID:
Major:
Year Entered:
Faculty Mentor:
Area of research:
GPA:
Please check all that apply:
	I am a bioengineering graduate student
	I am a graduate student in another program
	I am an undergraduate
	I am currently a GSR
	I have a fellowship
English is my first language	yes no (If "yes", skip to the Prior Teaching Experience section)
I have taken the TSE test yes no	Date: Score:
I have taken the SPEAK test yes no	Date: Score:

Prior Teaching Experience

UC Berkeley Courses	Non UC Teaching
1:
2:

Prior Relevant Coursework

Graduate Student Instructor Appointment Request for 2005-2006
Please rank your appointment requests, with the most desired at the top.

Rank	Course Preference	Semester (if applicable)
1		Fall Spring Either
2		Fall Spring Either

Comments

Please enter any other teaching experience, special requests, etc.

By submitting an application for a GSI position in the Bioengineering Department, you make a commitment to serve for the term for which you are applying. It is department policy that you notify the department of any plans to accept other means of financial support. We will, however, make every effort to accommodate your wish to accept other means of financial support, provided we can arrange to meet our scheduled course and instructor commitments.

By submitting this application, I certify that I have read the above policy and agree to abide by it.