Personal InIo NAME: ________________________________________________ STUDENT #: ___________________
ADDRESS: _______________________________________________________________________________ POSTAL CODE: _________ PHONE #:___________ E-mail address: __________________________ CITIZENSHIP: __________________ Do you have a work visa (if necessary) YES ____ NO ____
Student InIo CS GRAD: YES ____ NO ____ If yes, M.Sc. ___ or Ph.D. ___ SUPERVISOR: Dr._______________
Are you awarded a scholarship or Graduate TA this semester? YES ____ NO ____
Undergrads: Will you have completed 96 credit hours by this semester? YES ____ NO ____ Usernames: U of R (Hyperion) _________________ CS (Hercules or Venus) ________________ Have you discussed applying this TA job with your supervisor? YES ____ NO ____ Classes enrolled in during semester for which you are applying for work. ________________ ________________ ________________ ________________ ________________ Indicate computer languages you are familiar with:
HTML __ UNIX __ Java __ Javascript __ Assembler __ MIPS __ X86 __ C/C++__ PHP __
Others? ________________________________________________________ Indicate multimedia software packages you are familiar with: If you have taken any of these classes, enter the MARK you received and when you took it. Graduate students: Check the classes you are familiar with. Class Mark Year Class Mark Year Class Mark Year CS100 CS290 CS361 CS110 CS301 CS372 CS115 CS305 CS375 CS201 CS310 CS405 CS210 CS320 CS408 CS215 CS325 CS409 CS250 CS330 CS410 CS261 CS335 CS411 CS270 CS340 CS412 CS271 CS345 CS421 CS280 CS350 CS425 CS430 CS435 CS461 CS473 CS475 CS497 Other CS Classes: Reset Form Previous Work Experience Previous marking experience (list the order you marked) Class Semester Instructor
Previous Lab Instructing Experience (Semesters) Class Semester Instructor
Write the times you are available. Time Sun Mon Tues Wed Thurs Fri Sat Morning Afternoon Evening Position applied for (rank by desirability, list most desirable to less desirable) ___________________________________________________ Semester applied for ______________________________ Additional Comments (if any):