Colloquium TA Application

Teaching Assistant Application

Basic Information

Student Name*

First Name

Last Name

Person Number*

Email Address*

user@buffalo.edu

Current Campus Address Line 1

Street Address

Current Campus Address Line 2

Apartment, suite, unit, building, floor, etc.

Current Campus City

Current Campus State

Current Campus Zip Code

Permanent Address Line 1*

Street Address

Permanent Address Line 2

Apartment, suite, unit, building, floor, etc.

Permanent Address City*

Permanent Address State*

Permanent Address Zip Code*

Local Phone Number*

Major(s)

Minor(s)

Current GPA*

Out of 4.00

Completed Credit Hours*

Expected Graduation Date*

Have you previously been a Colloquium TA?*

Yes No

Teaching Assistant Application

References

Please list the names, phone number and email addresses of two individuals who may be used as references and indicate how you know this individual. Please select two from the following list:

Staff person with whom you have worked at a community service organization.
Professor who can speak to your discussion facilitation and critical thinking skills.
Current or former employer.
Peer with whom you have done community service, group projects, or other team-based work (e.g., Colloquium TA).
Supervisor from a campus activity or club.

Reference 1

Reference 1 - Name*

First Name

Last Name

Reference 1 - Email*

Reference 1 - Phone*

(716)

Reference 2

Reference 2 - Name*

First Name

Last Name

Reference 2 - Email*

Reference 2 - Phone*

Teaching Assistant Application

Support Materials

Please attach your portfolio/resume demonstrating prior work/leadership/teaching experience, campus and/or community activities, and academic honors.

Portfolio or Resume*

No File Chosen

File uploads may not work on some mobile devices.

Please attach a one-page typed statement indicating your motivation for applying and what you will bring to the Colloquium TA position.

Statement*

No File Chosen

File uploads may not work on some mobile devices.

I consent to Buffalo.edu collecting and storing my data from this form.*

I agree

Save and Resume Later

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