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" $ % & ( (*-.0133QQ)P)O*K,E0C2@4>6:899998877 6 6 54/..,,--NANI METAFILEPICT Sr     :  --6$S  }ywttjj8R8RS--  --r$7%;%;   ! " $ % & ( (*-.0133QQ)P)O*K,E0C2@4>6:899998877 6 6 54/..,,--AAAA)!dxdx dCCCC)!dxdx dFFFF)!dxdx&0 d d)!dxdx11' dxdno pHC<< CLevel 1Level 2Level 3Level 4Level 5(M3$ !7S7XX  ($$   1  !7c7XX  _   8c77dd8  D}m 11E51h|D `@ dE dp!} (#(#      (#(#Pleaseprintortyperequestedinformation.      p     Date: 򀀀. R X%X77cIwillorhaveappliedforadmissiontothe򀀀M.S.򀀀Ph.D.programinthePlantSciences 9 Departmentandplantoenter򀀀Semester򀀀Year.#7c7XX%#  - Iwishtoapplyforanassistantship:YES򀀀NO򀀀.  !   Name :򀀀      ` Last    h   First   p     Middle q   SocialSecurity# :򀀀Race򀀀Sex򀀀 7    Inquiriesastoraceandsexoftheapplicantaremadesolelyforaffirmative {    actionpurposes.Neitherracenorsexshallbeusedasafactorintheselection ^   ofgraduateassistants. A  PresentAddress : 򀀀     `    (Number)    (Street)     x      `  򀀀 t    `    (City) h      p (State)    (ZipCode) W  Telephone: ________________________   Email: __________________ z  Colleges&UniversitiesAttended0  򀀀Dates0p(#(#Degree  Major Dp(#p(# 򀀀󀀀0  򀀀0p(#(#򀀀  򀀀>p(#p(# 򀀀󀀀  0 p 򀀀0 p(#p(#򀀀 (# (# 򀀀0  򀀀0p(#(#򀀀0 p(#p(#򀀀=  (# (#  AcademicRecord : 1"   GradePointAve.:B.S.򀀀M.S.򀀀  $   _GRE_Ԁ(ifavailable):򀀀//(Verbal/Quant./_Analy_.).   x  !6&   (Pleaseattachorsendacopyof transcripts ofallcollegework.) *# (  &&%77cPleaseProvide#7c7%&&&#&&%77cԀaBriefPersonalHistory:#7c7%&&v# {$!*   T0-< D     &&%77c PleaseIndicateYourAreaofResearchInterest(s)andReason(s)forYourChoice: #7c7%&&P#  __ &&%77cPleaseindicateyourcareergoals: #7c7%&&## D _  _____ L References: Givethenamesandaddressesofthreepersonsacquaintedwithyouracademicworkand/or    withyouasanemployee.Lettersofrecommendationshouldberequestedbyyouandsentbythewriter   totheaddressshownbelow:   򀀀 Name 󀀀0  򀀀 Address 󀀀0x(#(#Telephone#, x(#x(# 򀀀0  򀀀0x(#(#򀀀O x(#x(# 򀀀0  򀀀0x(#(#򀀀lx(#x(# 򀀀0  򀀀0x(#(#򀀀:x(#x(# ThePublicActsof1969,Chapter130,StateofTennessee,requirethatthefollowinginformationbe t obtainedfromeachapplicantforemployment:      Haveyoueverbeenconvictedfortheviolationofacriminallaw?  Yes򀀀󀀀No򀀀    Haveyoueverbeendismissedfromemploymentforanyreason?  Yes򀀀󀀀No򀀀 7   IfeitherisYes,pleaseattachfullandappropriatedetails. "q L!*********************************************************************************** ? TheInstituteofAgriculturedoesnotdiscriminateonthebasisofrace,sex,color,religion,nationalorigin, "q age,handicap,orveteranstatusinemploymentopportunities.Inquiriesandchargesofviolation T concerningTitleVI,TitleIX,Section504,ADAortheAgeDiscriminationinEmploymentAct(_ADEA_) 7 oranyoftheotherabovereferencedpoliciesshouldbedirectedtotheOfficeofEquityandDiversity   (OED),1840MelroseAvenue,Knoxville,TN379963560,telephone(865)9742498(V/TTYavailable) !  or9742440.RequestsforaccommodationofadisabilityshouldbedirectedtotheADACoordinatorat "! the_UTK_ԀOfficeofHumanResources,600HenleyStreet,Knoxville,TN379964125. t#" ********************************************************************************** W$ # Allstatementsmadeintheapplicationaretrue,complete,andcorrect.Iunderstandthatany :%!$ misrepresentationoromissionofinformationshallbeconsideredsufficientreasonforwithdrawalofan &l"% offerorsubsequentdismissalifemployed. 'O#&  SIGNATURE :򀀀  DATE :򀀀 (%( Pleasereturnthisapplicationto: h GraduateAdmissionChair  *&*    `     h PlantSciencesDepartment w+'+    `     h TheUniversityofTennessee Z,(,    `     h Knoxville,TN379964561 =-)-      `    0 h FAX(865)9741947