william f. connell school of nursing

tel: 617-552-4928 fax: 617-552-0745

Please complete and return this form to the graduate programs office in Cushing 202H. For any questions, please call 617-552-4928.

Teaching assistant application form

Teaching Assistants generally provide assistance to faculty in the conduct of their course work and student clinical experiences. The work would involve activities such as preparing reference lists, syllabi, exams, doing a first reading on papers, monitoring examinations; and in some instances clinical teaching. The specific re-sponsibilities for each position will be assigned by the instructor. TA’s are scheduled to work 15 hours per week or 7.5 hours per week depending on the position. The stipend is $7000.00 per semester for 15 hours a week and $3,500.00 per semester for 7.5 hours per week. This stipend is taxable.

Name:

Address:

Telephone:

E-mail: Ph.D. Full time Masters Part time

Educational Preparation:

Master’s in nursing from in specialty

Clinical Experience:

RN license in Massachusetts? Yes No

Position:

Years:

Agency:

Clinical Spcecialty:

Teaching Experience:

Other skills(e.g. word processing, data analysis, etc.):(Please be specific about program and level of skill)

* you may attach your resume.

Please complete and return this form to MaryBeth Crowley in the Graduate Programs Office in Cushing 202. For any questions, please call 617-552-4928 or fax 617-552-2121.

DEADLINE FOR APPLICATIONS: MAY 31st