Department of Epidemiology

Teaching Assistant application

To apply to be a teaching assistant in the Department of Epidemiology, please complete and submit this form

Instructions: Please fill out with the information you know at this time. If you wish to add or correct anything, please resubmit the form with your preferred email address, Onyen and the correct information. New information replaces previously submitted information (a single period ("." erases the previous content of a field).

Type of submission:  
    An email address for the confirmation email:
 
If you are adding to, updating, replacing, or withdrawing a previous submission, please give:
    The Onyen you typed in your previous submission:  
    Brief note if desired: 
 
Your name
First
Middle or initial
Last
What you would like to be called by the instructors and your students:
Your degrees:

Your full name as you would like it to appear in the course materials and/or on the course website:

May we list your name in an on-line roster of past instructors?   Yes     No

* Your Onyen (UNC username):
 *(unless given above) * = required  
* Your PID:
 *(unless given previously)    
Your email addresses (actual and aliases) besides  youronyen@email.unc.edu
   Preferred for this role:
    An address (if different) likely to work after you graduate:
Other addresses or aliases you use:
 
Your telephone numbers (we usually use email, but just in case . . .) 
Daytime
No calls before:
Evening
No calls after:
Cell
Cell phone preferences:
Skype
Comment:
Other
Comment:

Which course(s) would you like to TA?
Course (first choice)
  
Course (second choice)
  
For EPID600: If one of your choices was EPID600, please indicate:
  
First choice
 Note: "Summer" is May through August
Second choice
Third choice
Comment?

Are you an international student (or is English not your first language)?
      No, English is my first language
      Yes

      If yes, when have you taken or are planning to take GRAD810, Communication in the
        American Classroom (link)?  

Are you proficient in   SAS?     Stata?   (Please check one, both, or neither)


Have you already served as a TA? Please list: 
 Course 
Semester
Year
Lead instructor
Classroom
Internet
 Comment? 

Which of the following courses have you taken and in what year?
Course
Year
 Course
Year
EPID600 (EPID160) BIOS545 (145) or equiv
EPID710 (EPID168) Higher level BIOS
EPID711 (EPID170)  
  EPID715 (EPID268)   Other EPID
  EPID718 (EPID269)      
  EPID722 (EPID271)      
Comment


1-4 sentences about you that would post with your name and contact information on the Teaching Assistants page in Blackboard (access only by registered students and invited guests). (If you would like to add your photograph to your entry, keep that in mind as holiday photos are being snapped.)

For EPID600: If you are wanting to TA in the next course offered, what is your availability on Thursdays (with occasional exceptions) for instructor meetings during that semester (check when cannot attend)

AM    
 Can / Cannot
PM    
 Can / Cannot
9:00-9:20
 / Cannot
1:00-1:30
 / Cannot
9:30-9:50
 / Cannot
1:30-1:50
 / Cannot
10:00-10:30
 / Cannot
2:00-2:30
 / Cannot
10:30-10:50
 / Cannot
2:30-3:00
 / Cannot
11:00-11:30
 / Cannot
3:00-3:20
 / Cannot
11:30-12:00
 / Cannot
3:30-4:00
 / Cannot
12:00-12:20
 / Cannot
4:00-4:30
 / Cannot
12:30-1:00
 / Cannot
4:30-5:00
 / Cannot
Comment?

If you have any general comments for the instructors, please add them here:


If applicable, may we quote you publicly (e.g., "What TAs are saying about EPID 160")
         Yes, by name      Yes, by semester      No


Updated 10/20/2008vs, 9/20,21/2009vs, 8/18/2011vs