Application for Teaching and Research Assistantship Full Name *: E-mail Address *: Phone Number*: Postal Address*: * Required Fields Type of Assistantship Desired: Teaching Assistantship Research Assistantship   Grade Point Average (GPA): Undergraduate Major: Date of Expected Graduation: Highest Degree Earned: Native Language: If Not English, Please Include: TOEFL TSE TWE Mathematics courses taken with grades earned: Teaching experience: Other relevant experience: Courses you feel you could teach: If you are currently enrolled at NDSU, please list the names of two professors who have knowledge of your teaching ability or potential: Prospective Graduate Students Only:   Expected Starting Date:   Where did you first hear about the NDSU Mathematics Graduate Program? Note: Only students planning to enroll at NDSU will be considered for an assistantship.

Department of Mathematics 300 Minard Hall North Dakota State University Fargo, North Dakota 58105-5075

Tel: 701.231.8171 Fax: 701.231.7598 Email: ndsu.math@ndsu.edu Office Hours: Monday - Friday 8:00 - 5:00