2015 TEACHING ASSISTANT APPLICATION FORM

Directions: Please complete the following.

Date: __________________________________________________________________
Name: _________________________________________________________________
Current address: _________________________________________________________
City: __________________________________ State: ______ Zip code: ___________
Telephone: _________________________ Alternative phone: _____________________
E-mail address: ___________________________________________________________
Permanent address: _______________________________________________________
City: ______________________________ State: ______ Zip code: _______________
Are you eligible to work in the United States? __________________________________
EDUCATION
College (currently enrolled): ________________________________________________
Address: _______________________________________________________________
Current status: _______________________ Anticipated graduation date: ___________
Major: _________________________________________________________________
Minor: ___________________________________________ Years attended: ________
Other colleges or universities attended: _______________________________________
Name of cooperating educator: _____________________________________________
Cooperating educators phone number: _______________________________________
EMPLOYMENT HISTORY
Employer: _______________________________________________________________
Address: ____________________________________ Dates: _____________________
Job title: ________________________________ Supervisor: _____________________
Duties: _________________________________________________________________
Employer: ______________________________________________________________
Address: ___________________________________ Dates: _____________________
Job title: _______________________________ Supervisor: _____________________
Duties: __________________________________________________________
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VOLUNTEER EXPERIENCE

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Are you interested in college credit?
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Yes

____ No

Students are responsible for making arrangements for course credit through their
university or college internship supervisor. The Frist Center will provide documentation of
hours and will complete intern evaluation forms provided by the university.
I hereby affirm that the information provided on this application or in connection with the
processing of this application (and accompanying resume and documents, if any) is true
and complete to the best of my knowledge. I understand that false statements or
significant omissions, regardless of when discovered, made on or in connection with my
application and accompanying documents shall be considered sufficient reason for
dismissal. This application does not necessitate a teaching assistantship offer. If my
application is accepted, I agree to conform to the rules and regulations of the Frist Center
for the Visual Arts. I understand Teaching Assistants are considered employees of
Nashville Talent Payment with a placement at the Frist Center for the Visual Arts. There is
no contract, and the arrangement can be terminated at any time.
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Signature
Date
The Frist Center for the Visual Arts is committed to offering equal participation in all
programs without regard to race, creed, national origin, age, gender, marital status,
veteran status, or disability.
Application packets should be submitted to:
Jessica Orvis
Education Department
Frist Center for the Visual Arts
919 Broadway
Nashville, TN 37203