INSTRUCTIONS: If you wish to apply for the International Graduate Assistantship, please print and complete all 3 parts of this form, sign it, and return it with your application for admission. Please remember to include all supporting documentation with this application when you return it. Please read the guidelines and information BEFORE applying for this scholarship. If you do not wish to be considered for this scholarship, please indicate so by signing the space provided at the bottom of this page.

PART 1: GENERAL INFORMATION
Name __________________________________ U.S. Social Security No. _________________
Mailing Address: Street or PO Box _________________________________________________
City ____________________ State _______ Postal Code __________ Country _____________
Date of Birth: ___/___/___
Program of Study (Major) at Georgia College & State University: __________________________

PART II: SUPPORTING DOCUMENTATION
A) A letter written by you, the applicant, explaining how your own special abilities, interests, and experience will contribute to the process of internationalization of the curriculum, campus, and/or the community.
B) Each application for the International Graduate Assistantship must be supported by letters of recommendation. Two letters of recommendation from people who have observed your abilities must be submitted to support your International Graduate Assistantship application.

Please print the name(s) of individuals) writing a letter of recommendation to support your application for the International Graduate Assistantship in the following spaces:
Recommendation # 1: ____________________________________________________________
Recommendation # 2: ____________________________________________________________

PART III: APPLICANT'S ATTESTATION
I, ___________________________________ , DO ATTEST THAT I HAVE READ THE INFORMATION AND ACCEPT THE GUIDELINES FOR THE International Graduate Assistantship. Further, all of the information provided by me is, to the best of my knowledge, true and accurate. I will abide by the stated rules and regulations if awarded the scholarship. I request that my application for the International Graduate Assistantship be considered prior to my arrival at Georgia College & State University.

Applicant's Signature: ____________________________________
Applicant's printed name __________________________________
Date _________________________________________________

I do not wish to apply for the International Graduate Assistantship at this time.
Applicant's Signature: ____________________________________
Applicant's printed name __________________________________
Date _________________________________________________

RETURN THIS FORM AND SUPPORTING DOCUMENTS TO:
Georgia College & State University
International Services & Programs Office
Campus Box 49
Milledgeville, GA 31061-0490 U.S.A.