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Social Sciences Graduate Office
TA Application: Spring 2018

Step 1 of 7: Student Information

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You must complete all 7 steps or your choices will be
lost and any previous choices will also be erased.
You are logged in as: Bohemio Scroglin
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For security reasons, if you have not submitted this form within 10 minutes, you will automatically be logged out.
Questions about this application? Email: ucijas@gmail.com


This application must be submitted by Thursday March 15, 2018.

Please fill in as much of the information below as possible:

Student Information
Name: Bohemio Scroglin
E-Mail: scroggers@uci.edu
   
Student ID Number: *required
Phone:
Department: *required
Office Phone:
Office Location:
Yr Entered Program:

How many quarters of TA employment have you held on campus, through Spring 2018, not including summers?

I am able to fulfill a 50% time (20 hour per week) TA commitment during the full quarter Yes No
If English is not your primary language have you taken any of the following: TSE / TOEFL(-ibT) / IELTS / UCI SPEAK Test / Test of English Proficiency (TOEP)? Yes No
Test taken: Test date: Test score:

Please check mark the software applications you are able to use:
WordPerfect   Word   Excel   Access   Filemaker   SAS   Java   SPSS   Pagemaker/
Dreamweaver


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