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Semester for which you are applying:
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Are you eligible for the work-study program?
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Check if "yes"
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Last name:
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First name:
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University ID:
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Telephone number:
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Email address:
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Present address:
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Mailing address for your W-2 (tax forms):
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How many hours/week can you grade (max. 10):
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Preference of course(s) to grade:
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Hours you can be reached by telephone:
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Are you currently enrolled as a student at UVa?
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Check if "yes"
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In what school are you registered:
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Have you been employed by the University within the last 12 months?
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Check if "yes"
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(If not, and you are hired as a grader, you must fill out tax forms, an I-9 form and an
automatic deposit form before going on payroll)
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Have you previously been employed by this department?
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Check if "yes"
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Does another department now employ you?
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Check if "yes"
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Are you a graduate or undergraduate student?
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If you are an undgraduate, what is your current major:
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If you are an undgraduate, what is your expected graduation year:
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If you are an undgraduate, what is your cumulative GPA:
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What math courses are you currently taking:
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List past math courses and final grades for each:
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Additional information:
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NOTE: It will be the joint responsibility of the instructor and the grader to ensure the PROMPT pick-up and return of homework and/or test papers according to the arrangements. Failure to comply on the part of the grader may be reason for removal from payroll.
The department will provide a textbook for grading purposes. The grader is required to return the textbook to the department at the end of the semester.
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