Technology Fellow Application Form

Technology Fellows

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Technology Fellow Application Form

Before you start the application process, please make sure you have met all of the Eligibility Requirements. If you are eligible, please complete all sections below and submit your resume to ctl@usd.edu.

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Student ID (if you have one):
Birthdate:	mm/dd/yy
Major:
Minor:
Anticipated Graduation Date:	mm/dd/yy
E-Mail Address:
Have you ever been a Tech Fellow?:
If yes, When and Where?:
Microsoft Word:
	Please indicate your level of experience
Microsoft Excel:
	Please indicate your level of experience
Microsoft Access:
	Please indicate your level of experience
Microsoft PowerPoint:
	Please indicate your level of experience
Adobe Dreamweaver:
	Please indicate your level of experience
Adobe Flash:
	Please indicate your level of experience
Adobe Illustrator:
	Please indicate your level of experience
Adobe Photoshop:
	Please indicate your level of experience
Learning Management Systems (i.e. D2L):
	Please indicate your level of experience
Training Others:
	Please indicate your level of experience
Working on Teams:
	Please indicate your level of experience
Internet Usage:
	Please indicate your level of experience
HTML Coding:
	Indicate your experience without an editor like DreamWeaver or Frontpage
Website Design:
Web Scripting (i.e. JavaScript, Perl, etc.):
	Please indicate your level of experience
Graphic Design (i.e. posters, brochures, etc.):
	Please indicate your level of experience
Other Skills:
	Please list any other skills we should be aware of.
Schedule:
	How will you balance your schedule? (i.e. between your TF responsibilities and class schedule)
Example of Work:
	If you have designed any websites, list them here.
Why do you want to be a tech fellow?:
What makes you a qualified candidate?:
	Your abilities and experience should be mentioned.
How would the program advance your career?:
	Please outline your career path and your perspectives.
What do you expect out of the TF program?:
Datatel Authorization:
	I authorize the CTL to access my academic information.
Verification:
	I certify that the information above is factual.
Eligibility:
	I certify that I meet the eligibility requirements.

Contact Information

Technology Fellows Program McKusick Room 107 University of South Dakota 414 E. Clark Street Vermillion SD 57069 Phone: 605-677-5411 Fax: 605-677-6518 ctl@usd.edu www.usd.edu/techfellows

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The University of South Dakota

Technology Fellows

Technology Fellow Application Form

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