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TA Application Form

• Name*
  First Last
• BYU ID*
• Address
  Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State
• NetID*
• Email*
• Phone
• Major
• GPA
  Please enter a number from 0 to 4.00.
• Semester*
  Year/Semester (ie Fall 2019)
• Date
  Month

  Day

  Year
• Related course work taken

  Course and Number	Semester	Instructor	Grade

  course and Number /Semester / Instructor
• Additional Experiences
• Class /Instructor Perference
• Hours per week wanted