Graduate Student Employment Confirmation Form

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This is the graduate student employment confirmation form. This form has to be approved by multiple personal so it could take up to 3 weeks to be approved depending on how busy staff are. Thank you for your consideration.
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Today's Date* This field is required.
Date
Month
Day
Year
3
Your Full Legal Name* This field is required.
First Name
Last Name
4
Your School Email* This field is required.
example@example.com
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Faculty Advisor Name* This field is required.
First Name
Last Name
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Faculty Advisor Email* This field is required.
example@example.com
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Appointment Percentage* This field is required.
50%/Full-Time Graduate Assistant
Other
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What date are you planning on leaving?* This field is required.
Date
Month
Day
Year
9
What date are you planning on returning?* This field is required.
Date
Month
Day
Year
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What is the reason for your request?
Huge
Large
Normal
Small
Ok
Ok
11
Are you planning on renewing your visa or passport?
Yes
No
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Please provide an explanation for your visa or passport renewal.
Huge
Large
Normal
Small
Ok
Ok
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Note: Contact Jorge Vinals, your faculty advisor and Selena Fuhrman if you find you are subject to a security check or administrative processing.
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Current Position Job Title* This field is required.There are three options below. If you are only a Teaching Assistant (TA) this semester, then choose graduate teaching assistant. If you are only a Research Assistant (RA) this semester, then choose graduate research assistant. If you are both a Teaching Assistant and Research Assistant, then choose graduate Teaching and Research Assistant.
Graduate Teaching Assistant
Graduate Research Assistant
Graduate Teaching and Research Assistant
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Are you a Teaching Assistant this semester? If so please select option below.
As a graduate Teaching Assistant they teach undergraduate physics labs and discussion sections and grade homework and exam papers.
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Who is the instructor for the course?
Victor Boantza
Pete Border
Fiona Burnell
Aleksey Cherman
Tracy Chmiel
Andrey Chubkov
Michael Coughlin
Dan Cronin-Hennessy
Paul Crowell
Priscilla Cushman
Dan Dahlberg
Lucy Fortson
Andrew Furmanski
Robert Gehrz
Tony Gherghetta
Lindsay Glesener
Hart Goldman
Martin Greven
Paul Haines
J. Woods Halley
Shaul Hanany
Kenneth Heller
Michel Janssen
Thomas W. Jones
James Kakalios
Alex Kamenev
Joseph Kapusta
Patrick Kelly
Yan Liu
Zhen Liu
Robert Lysak
Vuk Mandic
Jeremiah Mans
Ben Margalit
Marvin Marshak
Alexander McLeod
Jochen Mueller
Vincent Noireaux
Keith Olive
Gregory Pawloski
Natalia Perkins
Maxin Pospelov
Vlad Pribiag
Clement Pryke
Elias Puchner
Yong-Zhong Qian
Serge Rudaz
Roger Rusack
Claudia Scarlata
Mikhail Shifman
Boris Shklovskii
Evan Skillman
Nadja Strobbe
Ali Sulaiman
Oriol Valls
Jorge Vinals
Ke Wang
Michael Wilking
Liliya Williams
Charles Woodward
Paul Woodward
Aaron Wynveen
Xianghan Xu
Michael Zudov
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What is this instructors email?
example@example.com
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Are you a Research Assistant this semester? If so please select option below.
The student works on research in the following area with a faculty advisor. This research will form the basis of the Ph.D. thesis. Their current research is in the following field.
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If you are a research assistant, what is your area of research?
Astronomy and Astrophysics
Biological Physics
Condensed Matter Experiment
Condensed Matter Theory
Cosmology
High Energy Experiment
High Energy Theory
Physics Education
Nuclear Theory
Space Physics
Not Decided
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What is the current academic year?* This field is required.
2024-2025
2025-2026
2026-2027
2027-2028
2028-2029
2029-2030
Should be Empty: