SoD/TA Application Form

(1)

Independent University, Bangladesh

Spring / Summer / Autumn 201_____

Student’s Name __________________________________ ID __________________ Major ________

Telephone _________________________ E-mail: _________________________________________

Credits Completed ________________ Currently Enrolled ________________ CGPA ______________

Course Code & Title Applied for SoD/TA

1^st Choice Course code __________________ Title _________________________________

2^nd Choice Course code __________________ Title _________________________________

3^rd Choice Course code __________________ Title _________________________________

Related Courses Studied

Title _______________________________________ Code ______________ Grade _______

Specify course name & semester, if you were the SoD/TA of previous terms

(1) Course code ____________________ Semester ___________________ Year ___________

Proposed Working Hours Per Week (1) 10 Hrs / week (2) 20 Hrs / week

Academic Advisor’s Name ___________________________________________________________

Signature ________________________________________ Date _____________________________

Applicant’s Signature ____________________________________ Date ________________________

For office use only

Approved / Not Approved Signature of Head _____________________________________

Comments (if any) ________________________________________________________________