GSRA Request for 2009-10

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Faculty Information

Faculty Name *

Department *

Department to which faculty member is assigned

Campus Address *

Office Number and Building

Email *

Phone #:

*()

Phone number where a student can reach you with questions

Project Information

Title of Project *

The title will be used to place your project on the website and also used to identify your project in the appointment letter.

Semester(s) Desired *Fall 2009Winter 2010

Check all that apply

Project Description *

Provide a brief description of your project for prospective applicants.

Describe the work the GSRA would perform. *

Specific days/times the GSRA is needed

If the GSRA’s time can be arranged to accommodate both the faculty and student schedules, please leave blank.)

Special requirements of the GSRA

Include any academic or GPA requirements, special skills or abilities, experience with certain equipment or software programs, or other information the GSRA must have in order to fill your position.

I understand the following: • I may not receive funding for my position if there are more requests than funds available. • I may request multiple positions but may not receive funding for all. • I am responsible for the supervision of the appointed GSRA. • I agree to provide brief supervisor reports to the Office of Graduate Programs when requested. *AgreeDo Not Agree

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University of Michigan - Flint

GSRA Request for 2009-10

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