Application for Assignment of Office and Locker Space
Student Name: ______________________________________________________
Home or Cell Phone: _________________________________________________
What area of study are you in?
Psychological Studies in Education
Measurement, Evaluation & Cognition
Health Sciences Education
Teaching English as a Second Language
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.
Please print your forms and submit to firstname.lastname@example.org 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.