GRADUATE STUDIES
	DEPARTMENT OF MATHEMATICS
	UNIVERSITY OF HOUSTON
	HOUSTON, TX  77204-3008

APPLICATION FOR TEACHING ASSISTANTSHIP IN THE DEPT. OF MATHEMATICS

Degree Objective __________         Applying for: Fall ______(year)
					          Spring ____(year)
(Type or Print plainly answers to all questions)

1. Mr./Ms. ________________________________________________________
           (Last Name)             (First)              (Middle)

2. Home Address____________________________________________________
                (Number and Street)         (City)   (State)  (Zip)

3. Telephone Number (AC_____)___________ Local# ___________________

4. E-mail _________________________________________________________

5. Birthdate: Month _____________ Day ________ Year _______ Age ___

6. Citizenship ________________________ 7. SS# ____________________

8. List all colleges attended in order of attendance.  Include the
   University of Houston if you have previously attended.  It is
   required that all colleges be listed even though you may not have
   earned college credit.

   College      Location    Dates Attended        Degree Received
				(From/To)

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

9. (If Applicable) TOEFL Score ________    TSE Score ________

10. Please have three letters of reference sent to the Director of
    Graduate Studies and indicate below those persons you have asked
    to submit these letters.
    1.___________________________    2. _________________________
    3. __________________________

11. Each applicant must furnish complete transcripts and GRE scores
    along with this application to the Mathematics Department.

12. This teaching assistantship carries with it the responsibility of
    teaching two courses or of assisting in a large section each
    semester in the academic year.  In-state tuition is not waived
    for teaching fellows.     Date: ____________________________