Departmental GSA Application

Year of Waiver * Required
Name: * Required
First Middle Last
Former Names:
EWU ID (if known):
Semester or Quarter Program: * Required
Appointment Requested for: * Required
- Annual
- Fall Quarter
- Winter Quarter
- Spring Quarter
Appointment Requested for: * Required
- Annual
- Fall Semester
- Spring Semester
Mailing Address: * Required
Street Address City State / Province / Region ZIP / Postal Code Country
Email Address: * Required
Primary Telephone: * Required
Department: * Required
For which department is the Appointment Requested? Please note, if the desired department is not listed here you will need to contact them individually.
Other Department
If you have selected "Other" from the Department, please enter the department name here.
Degree and area of specialization sought: * Required
Area of Specialty
Many students with Graduate Service Appointments in the area of Wellness & Movement Sciences or Athletic Training teach for/support this department by assisting with courses or other support functions. Please choose your primary areas of expertise from the list below.
Resume Upload
Click here to upload your resume. A current resume is required of all Graduate Service Appointment applicants to the Wellness & Movement Sciences program, or Athletic Training.
College History
From what college did you graduate? * Required
What was your undergraduate major? * Required
List other colleges attended.
List other colleges attended:
Work Experience
List pertinent work experiences, if any, since college graduation:
List pertinent work experiences, if any, since college graduation.
Employer Position Title/Description Start Date End Date
Previous Supervisors
Supervisor Name Email Address Phone Number

List names, email addresses and phone numbers of your supervisors for your last two positions:
Financial Aid Information
A portion of the total funding for GSA waivers is allocated for outstanding students who demonstrate financial need. Only Washington residents are eligible for this subset of overall GSA funds.

To be considered for a need based GSA waiver, applicants must have completed the FAFSA. Washington residents who have completed the FAFSA and applied for a GSA need not take any other steps to be considered for a need-based GSA.
Signature:
Date:

Employer	Position Title/Description	Start Date	End Date

Supervisor Name	Email Address	Phone Number

College History

Work Experience

Financial Aid Information