Application -- Science Education Teaching Assistant

Joint Educational Project YOUNG SCIENTISTS PROGRAM

Name: __________________________________ Student ID number:

(First) (Middle) (Last)

Local Address:
street city zip

Permanent Address (if different):

street city zip
Phone: Cell: E-mail:

Emergency Contact:
(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):
Name position phone number
1.

2.

3.

Please include the following with your application:

A letter of recommendation from someone familiar with your abilities and experience.
Application and letter of recommendation due April 7th, 2017
A copy of your class schedule, and extracurricular activities, highlighting availabilities
to teach on Monday-Fridays between 8 AM- 2 PM.

For more information contact DJ Kast by phone or email:

(213) 740-1834dkast@usc.edu
Please drop off application at the JEP House or email to:
JEP House (Attn: DJ Kast) * 801 W. 34th Street *
University of Southern California * Los Angeles, CA 90089-0471