KENT STATE UNIVERSITY
DIVISION OF RESEARCH AND GRADUATE STUDIES
PO BOX 5190
KENT OH 44242-0001

APPLICATION FOR GRADUATE APPOINTMENT
(Please type or print in ink)

I am applying for the degree of

Ph.D.        M.A.        M.Arch        M.F.A.        M.L.S.        M.M.           M.P.A.        M.S.        M.S.N.

in the Department of ______________________________________________ Probable enrollment date __________ / ______
  
                                                                                                             (semester) (year)

Full-time ______________________ Part-time________________________ Social Security Number _______ _____ _______

Name__________________________________________________________________________________________________________
           (Last)                                                                    (First)                                        (Maiden-Middle if married)

Permanent Address_______________________________________________________________ Phone__________________________

City_______________________________ County__________________________ State _______________ Zip _____________________

I am interested in the following kind of appointment:

Graduate Assistantship     Offered at the master’s and doctoral level in all departments offering graduate degrees.

Graduate Research             Comparable to the Graduate Assistant and offered where there is grant support in the department.

Teaching Fellowship             Available to doctoral students holding a master’s degree.

Information regarding other graduate assistantships is published in the Directory of Graduate Assistantships in Administrative Offices. It is available by request from the Office of Graduate Program Services, Division of Research and Graduate Studies, Kent State University, P.O. Box 5190, Kent, OH 44242.

(Specify) _____________________________________

Degrees already received:     Bachelor’s degree in _____________________________________________

                                                from _________________________________________________________
  
                                                                     (School)

                                                Master’s Degree in ______________________________________________

                                                from __________________________________________________________
  
                                                                     (School)

Approximate Undergraduate Grad Point Average (Scale A=4 etc.) ________________

Approximate Graduate Grade Point if applicable ______________________________

GRE Score (if available) ____________ Other relevant test scores ______________________________________
  
                                                                                 (Name of Test)                             (Score)