2013-2014 Graduate Assistantship Application

Please complete the following graduate assistantship application to be considered for a position with the Health Education Resource Center (HERC).

Name * First Last
E Number (if an EIU student)

Skip if you do not know your E number.
Local Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Permanent Address (if different than local address)
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Primary Phone Number * - (###) - ### ####
Email *
What is the best way to contact you? * Phone Email Either
What degrees or certifications do you currently have?
Have you previously had a graduate assistantship at EIU? If so, which semesters and where?
Are you currently enrolled in graduate school? * YES NO
If YES, which program?
If NO, which program will you be applying to?
When is your anticipated graduate level graduation date? / MM / DD YYYY
Please rate ALL of our open positions, with 1 being your most interested in and 6 being least interested. Use the text box below to type your rating. The following are a list of the positions:
Substance Abuse Education Coordinator
Marketing & PR Coordinator
Sexual Health Coordinator
Community Organizing & Health Leadership Coordinator
Student Affairs Assessment Coordinator
Nutrition Education Coordinator *
If you are not selected for your top choice, would you like to be considered for the other graduate assistantship openings? * Yes No
Some positions may require coursework or experience in various areas, depending on responsibilities. Please tell us about your training, coursework, background, etc. in the following areas:
Computer skills, such as what programs are you comfortable using? *
Program development, promotion, or evaluation. *
Writing skills. *
Experience working with diverse cultures and lifestyles. *
Please relate your personal/professional interest in health. *
Experience teaching or public speaking. *
What traits or characteristics would set you apart from other candidates and prove you to be the best fit for the position? *
Counseling Experience. *
Is there anything else you would like us to know?
Why do you want a graduate assistantship with the Health Education Resource Center? *
Upload Your Cover Letter *
Upload Your Resume or Vita *

Please include the name and contact information for 3 professional references at the end of your resume or vita.
If references are not included in the resume, please list here. Include name, phone number, and e-mail address. Three references are required.
You may upload your letter(s) of recommendation and unofficial transcripts here as one file or if you prefer, you may mail them to:

HERC
Attn: Amanda Woolard
Eastern Illinois University- SSB 5021
600 Lincoln Ave.
Charleston, IL 61920

Or Fax to (217)-581-8330
Unofficial Transcripts

If you are unable to copy and paste your transcripts into a Word document, you may mail them to the address below.
Letter(s) of Recommedation (1 required)

2013-2014 Graduate Assistantship Application

2013-2014 Graduate Assistantship Application

Some positions may require coursework or experience in various areas, depending on responsibilities. Please tell us about your training, coursework, background, etc. in the following areas:

You may upload your letter(s) of recommendation and unofficial transcripts here as one file or if you prefer, you may mail them to: HERC Attn: Amanda Woolard Eastern Illinois University- SSB 5021 600 Lincoln Ave. Charleston, IL 61920 Or Fax to (217)-581-8330

You may upload your letter(s) of recommendation and unofficial transcripts here as one file or if you prefer, you may mail them to:

HERC
Attn: Amanda Woolard
Eastern Illinois University- SSB 5021
600 Lincoln Ave.
Charleston, IL 61920

Or Fax to (217)-581-8330