Graduate Assitant Application

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Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or differently-abling condition.

SECTION I: Personal Information

Last Name:*

First Name:*

MI:*

Address:*

City:*

State:*

ZIP Code:*

Home Phone:*

Cell Phone:

Email Address:*

Have you ever submitted an application with Mount St. Mary's University before?

If yes, please give dates:

Are you legally authorized to work in the United States?*

Proof of citizenship status will be required upon employment.

Have you ever been convicted of a crime other than a minor traffic offense?

If yes, please provide details (date and location for all convictions):

A conviction will not necessarily automatically disqualify you for employment.

Type(s) of assistantship preferred:*

Preferred Schedule*

Intended Degree*

Semester Hours completed in Current Program:*

Date of Availability:*

SECTION II: Colleges and Universities Attended

Please include all Colleges and Universities attended, including Mount St. Mary's University. List the most recent first.

Institution:*

Location:*

Major:*

Degree Sought:*

Dates Attended (From/To):*

Institution:

Location:

Major:

Degree Sought:

Dates Attended (From/To):

Summarize pertinent experiance/skills (Teaching, research, computer, language, etc.):

SECTION III: Work Experience

List last two employers (most recent first):

Employer:*

Location:*

Position:*

Dates (From/To):*

Employer:

Location:

Position:

Dates (From/To):

Upload Résumé

SECTION IV: Authorization and Signature

I hereby authorize my former employers and individuals listed herein to release to Mount St. Mary's University, and any agent acting on its behalf, my records from any and all former employers, references, and any or all educational institutions, as well as information as to my character and ablility and verification of matters stated herein. I hereby certify that the information supplied in this application and other submitted application materials are complete and correct. I understand that any omission or misstatement herein can be grounds either for refusing to hire me or for terminating my employment if I have already been hired. Moreover, I hereby release Mount St. Mary's, and any agent acting on its behalf, from any and all liability of whatever nature by reason of requesting such information from any person.

I have read and agree to abide by the terms of this application. (Terms link below)*

Important Information Regarding Graduate Assistanships

Signature:*

Date:

Provost's Office • Bradley Hall, Room 219 • 16300 Old Emmitsburg Road • Emmitsburg, MD 21727 • (301) 447-5218 • (301) 447-5863 fax

16300 Old Emmitsburg Road | Emmitsburg, MD 21727
Map & Directions | admissions@msmary.edu | 301-447-6122

Frederick Campus | 5350 Spectrum Drive | Frederick, MD 21703
Map & Directions | inquiry@msmary.edu | 301-682-8315