GA Application
Candidate Information
Name
*
First Name
Last Name
Permanent Street Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
Please enter a valid phone number
Email
*
user@duq.edu
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Personal
Degree/College/University
*
What is your academic start term
*
Spring
Summer
Fall
In which academic year will you be attending?
*
Major QPA
*
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Education
Have you already been accepted into a Graduate Program?
*
Yes
No
If so, which Graduate Program
Will your classes be scheduled during the day, evening, and/or weekends, or online?
*
Day
Evenings
Weekends
Online
In which Student Life areas are you interested in pursuing a graduate assistantship (Please rank your top 4 choices by dragging to reorder)
*
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References
List up to three (3) references
*
Resume & Cover letter
Please attach your resume
*
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Please attach your cover letter (optional)
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Signature & Date
Signature
*
Date
*
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Month
-
Day
Year
Date
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