OUTSTANDING GRADUATE TEACHING ASSISTANT AWARDS Due January 19, 2007
Directions: Please fill out the form below, print this web page, and then click the “Submit” button at the bottom of the page to send your application data to the Center for Teaching and Learning. Obtain the necessary signature and attach the required supporting documentation (instructions and requirements are listed on page 2) and send to: Kathleen Smith, The Center for Teaching and Learning, Instructional Plaza-North 3016 (Campus).
Nominee Information
Title (Dr./Mr./Ms./Mrs.)
First Name Last Name
Social Security # (last four digits)
Department
Campus Address (Name of Building and Room Number)
Graduate Salary Classification (Job Title - GTA, GLA, etc.)
Degree Program
Expected Degree Completion Date
Number of TAs/LAs in Department Number of TAs/Las Nominated
Dean/Dept. Head
(D/DH) Campus Address 1 (Name of Department)
(D/DH) Campus Address 2 (Name of Building and Room Number)
Graduate Coordinator
(GC) Campus Address 1 (Name of Department)
(GC) Campus Address 2 (Name of Building and Room Number)
TO BE ATTACHED FOR OUTSTANDING TEACHING ASSISTANT AWARDS:
Listing of courses or laboratories taught at UGA including course number and title, enrollment and term taught. International nominations must have met all TA Policy requirements for training and language screening.
Endorsements: _________________________________________________ Department Head Date
After endorsement by the department head, one copy of the nomination materials should be forwarded by January 19, 2007 to: Kathleen Smith, The Center for Teaching and Learning, Instructional Plaza North 3016 (Campus)
*Sample nominations may be viewed in the Center for Teaching and Learning.
NOMINATION CRITERIA FOR OUTSTANDING TEACHING ASSISTANT
Please fill out this information:
Print this web page, then click the Submit button to send the form information to the Center for Teaching & Learning. Take the printout to your department head for an endorsement signature.