Trails to Research TA application

This is the application for the course at MSU during Summer 2023. Please fill out the application with complete and accurate information. If you have any questions please contact us.

Trails to Research
Montana State University
529 Leon Johnson Hall
Bozeman, MT 59717-1234

Instructors:
Christa Merzdorf
406-954-5456

[email protected]

Jennifer Forecki
414-803-1699

[email protected]

Trails to Research applications are due May 1st, 2023

denotes required fields.

Contact Information

First name

Last name

Email Address

Phone number

Alternative phone number

Address 1

Address 2

City

State

Zip /Postal Code

Country

Personal Infromation

Birthday

Tribal affiliation?

Yes

If yes, what is your tribal affiliation?

Current College

Major

Date of expected graduation

Four-year university you plan on attending

Do you have a physical disability that needs to be accommodated while you visit MSU? If yes, you will be contacted and the appropriate accommodations will be made.

YesNo

Housing at MSU

Housing will be in the MSU dorms from Sunday until the next Saturday. It is not possible to provide family housing for one week. Thus, please expect to make your own arrangements for your children back home (or in Bozeman, should you have family or friends).

I am able to come on my own and will stay in the dorms.

Yes

I am able to provide my own housing (you will receive travel money and a food allowance).

Yes

MSU Required Safety & Secuirty Information

Have you ever been convicted of a felony (please include instances of deferred sentencing)?

Yes

Have you ever been subjected to court-ordered confinement for threatening or causing physical or emotional injury to persons or property?

Yes

Have you ever been disciplined, suspended from, or placed on probation at any educational institution for nonacademic reasons?

Yes

Have you ever been required to register as a sexual or violent offender?

Yes

NOTE: Answering “Yes” to any of these questions will not automatically prevent admission, but you will be asked by the university to provide additional information. This information will be reviewed by a campus committee to ensure campus safety. Any falsification or omission of data may result in a denial of admission or dismissal.

Please tell us why you would like to TA the course?

There is a NO cell phone policy for this course, when we are in the lab we will limit the use of cell phone to the afternoon of day 2 to act as a calculator. During the remainder of the course due to chemicals and liquids, cellphones must be put away in bags and pockets until the course finishes for the day.

I certify that I have read this policy and will abide by it.

Yes

More Information

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