Application for Assignment of Office and Locker Space

2014-2015

Student Name: ______________________________________________________
Home or Cell Phone: _________________________________________________
E-mail: ____________________________________________________________

What area of study are you in?

Counselling Psychology Psychological Studies in Education Measurement, Evaluation & Cognition Health Sciences Education Teaching English as a Second Language Special Education Technology in Education Specialization

What is your present status?

PhD Candidate (completed your candidacy oral exam Provisional PhD Student, second year of studies or more Provisional PhD Student, year one Qualifying or Probationary PhD Student MEd Candidate, second year of studies or more MEd Candidate, year one Qualifying or Probationary MEd Student Other student, please specify _______________________________________

Please check the appropriate space below

Have you been granted a Teaching Assistantship?
Have you been granted a Research Assistantship?

Office space must be renewed each year. This is required to retain your space for the upcoming year.
Assignment________________________________________
Please print your forms and submit to okamura@ualberta.ca or to 6-102 Education North. You will be informed by e-mail when your assignment is ready. 

The personal information requested in this form is collected under the authority of Section 33c of the Alberta Freedom of Information and Protection of Privacy Act for the purpose of administering locker and office space. Questions regarding the collection of this information should be addressed to the Chair, Department of Educational Psychology, Faculty of Education, University of Alberta, Edmonton, AB. File 382.3