Application -- Science Education Teaching Assistant

Joint Educational Project YOUNG SCIENTISTS PROGRAM

Name: __________________________________
(First)

(Middle)

Local Address:

Student ID number:

(Last)

street

Permanent Address (if different):

Phone:
Emergency Contact:

Cell:

street

E-mail:

city

zip

city

zip

(Name, relationship, and telephone number)

Major:
Status: ___ Freshman ___ Sophmore ___ Junior ___ Senior ___ Grad Student
Semester/year you expect to graduate:
Do you have Federal Work Study funds through financial aid? ___ Yes ___ No
Professional interests, experience and/or areas of specialization:

Share any community service or other relevant experiences that you have had working with
young people or within schools.

Why are you interested in this position?

References (please include at least one USC professor or staff member):

1.

Name

position

phone number

2.
3.
Please include the following with your application:

A letter of recommendation from someone familiar with your abilities and experience.
A document that provides your available time to work with YSP (outside of class time,
clubs/extracurricular obligations, other work responsibilities).
Application and letter of recommendation due Friday, September 2nd, 2012.
For more information contact DJ Kast by phone or email:
(213) 740-1814dkast@usc.edu
Please drop off application at the JEP House or mail to:
JEP House (Attn: DJ Kast) * 801 W. 34th Street *
University of Southern California * Los Angeles, CA 90089-0471