Departmental GSA Application Year of Waiver * Required2022/23Name: * Required First Middle Last Former Names: EWU ID (if known): Semester or Quarter Program: * RequiredQuarterSemesterAppointment 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Address: * Required Primary Telephone: * RequiredDepartment: * RequiredFor which department is the Appointment Requested? Please note, if the desired department is not listed here you will need to contact them individually.Please Select a Department of AppointmentApplied MathematicsBiologyCommunication Sciences and DisordersComputer ScienceCreative WritingDental HygieneEnglish-Creative WritingEnglish-LiteratureEnglish-Rhetoric & Technical CommunicationGeography/AnthropologyHistoryMusicOccupational TherapyPhysical TherapyPsychologyPublic AdministrationPublic HealthUrban and Regional PlanningWellness & Movement SciencesOtherOther DepartmentIf you have selected "Other" from the Department, please enter the department name here. Degree and area of specialization sought: * Required Area of SpecialtyMany 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. Athletic TrainingAthletic AdministrationStrength and ConditioningTeaching of Activities Classes (i.e. Golf, Yoga, etc.)Fitness CenterOutdoor RecreationResume UploadClick 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.Max. file size: 63 MB.College HistoryFrom what college did you graduate? * Required What was your undergraduate major? * Required List other colleges attended. HiddenList other colleges attended: Work ExperienceHiddenList pertinent work experiences, if any, since college graduation:List pertinent work experiences, if any, since college graduation.EmployerPosition Title/DescriptionStart DateEnd Date Previous SupervisorsSupervisor NameEmail AddressPhone Number List names, email addresses and phone numbers of your supervisors for your last two positions:HiddenHiddenFinancial Aid InformationA 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.HiddenSignature: HiddenDate: Δ