George Mason University
Application for Year _________ Semester (check one) Fall _______ Spring ______ Summer ______
Name (Last, First MI) ____________________________ Phone Number ______________________
Student ID Number _____________________________ GMU Email: @gmu.edu
** Primary application deadlines are as follows: Fall: 8/15, Spring: 1/15, Summer: 9/15. Applications received after these deadlines will be processed on an as-needed basis. Please submit your application to the CS Dept. either by hardcopy (ST2, Room 430, attn: Tamara Maddox) or by email to
tmaddox@gmu.edu.Fill in your grades for required CS courses you have completed. Note additional courses if you wish. Use "T" for transferred courses.
Total GMU Credits completed _____ GPA for GMU CS classes: _______ Overall GPA: ________
List all programming languages/packages in which you feel competent to program or assist students:
List courses you are interested in and/or willing to assist with as a UTA, in order of preference:
UTA Responsibilities
(please mark all that you are interested in and/or willing to perform):Other activities (please specify): _________________________________________
Specify (in order) the three responsibilities which you would feel most *confident* performing:
1) ___________________________ 2) __________________________ 3) ____________________________
Specify (in order of preference) the three responsibilities you are most *interested* in focusing on:
1) ___________________________ 2) __________________________ 3) ____________________________
How many hours do you wish to work per week? Ideal _________ Max__________ Min ___________
Note: Section A should be completed only by previous UTAs. Section B should be completed only by new UTA applicants.
A. For Previous UTAs:
For each semester you have worked as a UTA, specify the courses, duties and primary faculty member(s) involved:
Semester Course Faculty Responsibilities
__________ ________ _______________ ___________________________________________________
__________ ________ _______________ ___________________________________________________
__________ ________ _______________ ___________________________________________________
__________ ________ _______________ ___________________________________________________
__________ ________ _______________ ___________________________________________________
__________ ________ _______________ ___________________________________________________
If there is a particular faculty member you would most like to work with, please note this here: ___________________
Please check one:
For applicants interested in new responsibilities, please explain below (e.g. increasing your experience,
B. For New UTA applicants only:
Name of faculty sponsor who will recommend you ________________________________________________
Why do you want to be a UTA?
(Write a short paragraph explaining why you would like to be a UPA, and why you feel you would be good at the specific responsibilities that you are most interested in. If you have any special skills or experience that would be helpful for this position, please note it here.)PART C. In order to be considered for any of the categories listed under Assisting Students or Teaching, you must complete the attached scheduling form indicating your specific availability. Please also complete this section if your duties are likely to include in-class student assistance (e.g. helping with CS 306 mock trials).
Please indicate on the below chart any times during which you would NOT be available for UTA responsibilities:
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7:30 |
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8:00 A.M. |
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8:30 |
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9:00 A.M. |
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9:30 |
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10:00 A.M. |
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10:30 |
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11:00 A.M. |
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11:30 |
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12:00 Noon |
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12:30 |
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1:00 P.M. |
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1:30 |
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2:00 P.M. |
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2:30 |
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3:00 P.M. |
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3:30 |
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4:00 P.M. |
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4:30 |
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5:00 P.M. |
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5:30 |
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6:00 P.M. |
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6:30 |
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7:00 P.M. |
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7:30 |
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8:00 P.M. |
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8:30 |
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9:00 P.M. |
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9:30 |
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10:00 P.M. |
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10:30 |
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11:00 P.M. |
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11:30 |
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12:00 Midnight |
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For classes requiring labs, please indicate the specific lab section numbers that apply (e.g. CS 112, labs 201-204):
______ ______________________________ ___________________________________________
______ ______________________________ ___________________________________________
General Scheduling Preferences (Please indicate the days and times you would most like to work; be