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Please fill out all questions. Not completing the application fully may result in not being considered.

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* 1. First Name

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* 2. Last Name

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* 3. UID

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* 4. Contact Info

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* 5. Current contact phone number:

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* 6. Your Year

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* 7. Your Major

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* 8. Your overall GPA

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* 9. I am applying for a teaching position in (check only one):

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* 10. If you are applying for Biology, for which course(s) would you like to be considered?

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* 11. If you are applying for Chemistry, for which course(s) would you like to be considered?

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* 12. Have you had previous UTA experience?

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* 13. Provide a brief statement of your reasons for applying to the UTA program. What do you expect to gain from the program, other than hourly employment? Include your career goals and a statement of how this program relates to those goals.

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* 14. What, if any, previous teaching experience have you had?

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* 15. Spring 2012 Courses for which you are registered (include Course, Section, Day/Time):

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* 16. Other time commitments, including seminars you are registered for, research, work, sports, etc. Please include days and hours of commitment.

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* 17. Please indicate the times of the week that you are available in Spring 2012 for participating in UTA Fellowship activities.

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* 18. How can you be reached during the winter break?:

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