University of Wisconsin Madison Department of Electrical and Computer Engineering

Teaching Assistant/Grader Position Application Form

Semester Applied for: Spring 2012 I. Applicant Information
Student ID: Last Name: Program: 9066223331 Agarwal PHD MS Email: First Name: Cumulative GPA: Computer Eng ; pagarwal7@wisc.edu Preeti NA Communication and

Area of Study:

Automatic control system; Photonics;

Signal Processing; Others

Electromagnetic field and wave;

Energy and Power System;

Plasma and controlled fusion;

Solid state and Micro-electronics ; RA: PA:

Current academic year financial support (%): Additional details if relevant: No SPEAK test score: 50

Fellowship :

TA ECE 252 (33.33 %), Grader Math 320 Yes

I have been appointed as a TA or grader at UW-Madison during past 5 years:

(applicable for international TA candidate only)

II. Course Selection Preferences

Fill in course numbers you want to serve as a TA or a grader (maximum 5). If you took that same course at UW-ECE, give the grade you earned. If you have served as TA or grader for that course in past 5 years, give all the semesters you have been appointed to that course and the latest TA evaluation score (if available). Course number 352 270 271 376 Check one or both TA Grader Grad e Prior TA/Grader experience in this course

Last update: December 16, 2011

308

Last update: December 16, 2011