Graduate School Graduate Assistant Part-Time Enrollment Waiver

Personal Information

First Name (as it appears on NMSU record):

Last Name (as it appears on NMSU record):

Aggie ID Number:

Email:

Date of Birth

Primary Phone Number:

Program Information

Department:

Campus:

Degree:

Online Global Campus Program (Cert):

Online Global Campus Program (Master's):

Online Global Campus Program (Doctorate):

Main Campus Program (Cert):

Main Campus Program (Master's):

Main Campus Program (Doctorate):

Main Campus Program (Ed. Specialist):

Degree Completion Semester/Year

Part-time Enrollment Term

Credit Hour Enrollment

Type of Assistantship

JUSTIFICATION for Part-Time Enrollment