Department of Occupational Science

& Occupational Therapy

Application for Graduate Assistantship

admission term: Fall of ______

name: ______

First Middle Last

local address: ______

Street City State Zip

mailing address: ______

Street City State Zip

U.S. citizen: __Y __N if not u.s. citizen: __Permanent Resident __International Student

Time Commitment

Graduate Assistants may not be employed at another position at the University during the appointment period. Appointees must commit twenty (10) hours of service per week to the assistantship. A typical assistantship contract is for nine (9) months beginning on August 20 and ending on May 20.

Please list current or expected weekly time commitments or other obligations, such as volunteer projects, during the assistantship period for which you are applying:

I hereby certify that the above information and supplemental documentation required for consideration for a graduate assistantship with the Department of Occupational Science & Occupational Therapy is true and accurate to the best of my knowledge.

Department of Occupational Science

& Occupational Therapy

Application for Graduate Assistantship

1.  ______

2.  ______

3.  ______

4.  ______

5.  ______

6.  ______

7.  ______

8.  ______

I hereby certify that the above information and supplemental documentation required for consideration for a graduate assistantship with the Department of Occupational Science & Occupational Therapy is true and accurate to the best of my knowledge.

Department of Occupational Science

& Occupational Therapy

Application for Graduate Assistantship

Qualifications

Assistantships with the Department of Occupational Science and Occupational Therapy are based on Departmental need and merit. The Department looks at academic performance as well as experience when considering candidates. The student must be unconditionally admitted into the Post-Professional OTD program to receive an assistantship, reside in the St. Louis metro area, and must maintain a minimum 3.0 GPA to retain the assistantship position.

Submission Instructions

1.  Please submit a cover letter outlining your qualifications and resume along with this form.

2.  E-mail your information to . Subject Line: Application for Assistantship followed by your Name. (ex. Application for Assistantship Smith)

3.  If you cannot e-mail your application, you may mail it along with supporting documentation to:

Department of Occupational Science

& Occupational Therapy

Attn: OTD Admissions Committee

3437 Caroline St.

AHP, Room 2020

St. Louis, MO 63104

Signature: ______Date: ______

I hereby certify that the above information and supplemental documentation required for consideration for a graduate assistantship with the Department of Occupational Science & Occupational Therapy is true and accurate to the best of my knowledge.