BU111/121 Instructional Assistant Application 2016-2017

First Name:*

Last Name:*

E-mail:*

Student I.D. #:*

WLU E-mail Address:*

Local Address:*

Telephone #:*

Permanent (Mailing) Address:*

Permanent Telephone #:*

Academic Stream:*

Which term will you be entering in your next academic term:*

Grades:

Select the grade received for Business courses completed by the end of December 2015.

BU111:*

BU121:*

BU127 or BU227:*

BU231:*

BU247:*

BU255:*

Please note that this course is not included in Business GPA calculations.

BU275:*

BU283:*

BU288:*

Third year students complete the following course grades:

BU352:

BU354:

BU383:

BU385:

Cumulative GPA as of December 2015*

If you have taken other Business courses, provide the courses and grades here:

Select all of the terms you will be available to work as an IA in the future:*

Fall 2016Winter 2017Fall 2017Winter 2018

Select the academic term you will be enrolled in for the available term(s)

Fall 2016

Winter 2017

Spring 2017

Fall 2017

Winter 2018

Other term(s) you would be available to work as an IA:

Attach resume:*

Upload a File

Attach photo (optional):

Upload a File

INTERVIEW DATE AND TIME

Please first select a time and date in the doodle poll below. Record the selected time and date using the drop down options that follow in steps 2 and 3.

1)Doodle poll http://doodle.com/poll/u63659ty26iirguk http://doodle.com/poll/u63659ty26iirguk

2)Interview Date*

3) Interview Time(all interviews will be held in the Doyle boardroom*

BU 111/121 Instructional Assistant References 2016-2017

Please provide two-non employer references, preferably one academic (a professor) and one non-academic Laurier reference. A non-academic reference can be anyone who has been in a position of authority or leadership above you, ie. a club president or your supervisor if you were a don.

Reference#1

Reference #1 Name *

Reference #1 Email *

Reference #2

Reference #2 Name*

Reference #2 Email*

Terms and Conditions *

I acknowledge that I have read the following notice: This information is collected under the authority of the Wilfrid Laurier University Act to administer the university-student relationship. This includes but is not limited to maintaining your academic and ancillary records, contacting you, and others on your behalf, and releasing such information as is appropriate for the operation of the university. Please visit our Privacy Co-ordinator’s web page www.wlu.ca (under “Resources”) for more examples of potential uses of your personal information. Questions may be directed to the Co-ordinator at privacy@wlu.ca or 519-884-0710, ext. 3637.I acknowledge that all training sessions are mandatory and that if I am not able to attend any part of a training session or teach all my labs for non-academic and/or avoidable reasons,I automatically forfeit my position