Medieval Studies Department
Doctoral Program in Late Antique, Medieval and Renaissance Studies
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E A C H I N GA
S S I S T A N T S H I PG
R A D I N GF
O R MNota bene: It is the student’s responsibility to fill the form prior to the end of the add/drop period and discuss and finalize it with the relevant faculty member(s); submit signed form to the Doctoral Program Coordinator.
COURSE INFORMATION
Academic year and term 202x/2x, XXX Term
Title of the course
Name of the faculty teaching the course Name of the TA
TASKS TO BE COMPLETED 1
2 3 4 5 6 7 8 9 10 11 12
Add additional sheet if necessary
Faculty member’s signature Date
Grade Pass Fail
Date Signature of the faculty member Doctoral Coordinator use only: Grade entered