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Summary: ASSISTANTSHIP APPLICATION
Department of Entomology
University of Georgia
Athens, GA 30602-2603
This form is to be used to apply for a Departmental Teaching or Research Assistantship. It should be
sent to Graduate Coordinator, Department of Entomology, University of Georgia, Athens, GA
30602.
Social Security Number _______________________________Date ______________________________
Full Name __________________________________________Date of Birth _______________________
Address to which communication should be sent
_____________________________________________________________________________________
_____________________________________________________________________________________
Telephone number ______________________________ Email _________________________________
I propose to work toward a _____________________ degree in _________________________________
(Major)
I have attended the following colleges or universities:
College Attended Dates Inclusive Degree Received
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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