ENGLISH FLUENCY CERTIFICATION FOR GRADUATE ASSISTANT

Form Instructions

1. Name - Enter the name of the Graduate Teaching Assistant (please print or type)
2. ID - Enter the Graduate Teaching Assistant's PSU-ID
3. Department - Enter the Graduate Teaching Assistant's Department/School/Division
4. CCU - Enter the Campus and College/School/Academic Unit
5. Check Boxes - Select one of the check boxes
6. Adviser - Enter the name of the Academic Adviser or Assistantship Supervisor
7. Enter any relevant comments