Application for Cog Sci GSI Appointment
To apply for a GSI position, please complete and submit the below form.
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DIRECTIONS
Please answer all questions as thoroughly as possible then submit the completed form. PLEASE REMEMBER: Your application is not complete without the submission of a current resume/CV and unofficial transcript by email to jkask@berkeley.edu. Applications will not be forwarded for review until complete.
Term (Fall, Spring, or Summer) and Year *
Name *
(Last, first and middle initial - in this order)
Courses to which you are applying. *
ex: Cog Sci 1.  (Be sure to note the section if applicable, eg:  Cog Sci 1.001)
Student ID # (SID) *
Phone Number *
Current Address *
(street address, apartment #, city, state, zip code)
Email Address *
Current Student Status *
Required
Citizenship *
Required
Are you or have you been employed at UCB? *
UCB Employee ID #:
Current or Previous Employing Unit and %  time
(ex. History Department, 50%)
Contact Person & Phone Number of Current or Previous Employing Unit
Will you be employed by any other department or unit on campus during this period? *
If yes, please list department or unit and percent time.
DEGREE PROGRAM AND FINANCIAL AID
Current Department of Study *
Degree Program *
Faculty Advisor *
Are You Advanced to Candidacy at the Doctoral Level? *
Required
Current GPA *
# of Incompletes Pending *
Are you on Filing Fee Status? *
Required
Last Term Registered *
Please list all fellowships to be received in the semester you are applying for a GSI position *
(if none then enter N/A)
Please list all other financial assistance you are receiving (fellowships, grants GSR or GSI appointments confirmed or pending) for the term applying to teach *
(if none then enter N/A)
GSI EXPERIENCE
How many terms have you been a GSI at UCB or another UC campus? *
Please list all previous or current appointments as a Reader, GSI or equivalent, including pending appointments. Include Semester/Year, Title/Step, Department/Course and Faculty/Instructor. If none then mark N/A *
(ex. Spring 2014, GSI/Step 1, Economics/Economics 1, Prof. John Doe)
Please list your Fields of Specialization *
List any faculty references and  corresponding department
GSIs Requirements: (please check the box as your confirmation) *
* if you have not yet completed a requirement indicate when you plan to under "other"
Required
Do you have a pending employment application in another UC Berkeley unit? If applicable, please indicate % time and unit. *
By checking the box below, you affirm that you have read the guidelines and policies* and that to the best of your knowledge, you meet the above requirements for this appointment. You will immediately inform Cognitive Science of any change to your status as a student or should your employment status change, e.g. total percentage of employment exceeds 50%. You understand that your appointment is contingent upon the verification of all information provided, approval by the Cog Sci Director, and final approval by the Graduate Division appointments unit. (*Information about guidelines and policies for GSIs and be found at http://grad.berkeley.edu/financial/graduate-student-employment/guide/.) *
Required
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