PETA Application

We are seeking additional PETAs to supplement the current pool of PETAs on the Bryan and Houston Campus with the ability to travel to Dallas, Temple, and Round Rock as needed.

Page 1 of 4 - Page 1

25%
Name
Email
Phone Phone - ### - ### ####
Date of Birth
Address (include your city)
Employment Status

Employment Status Employed Full Time Employed Part Time Student
If you are a student, what is your classification?

If you are a student, what is your classification? Freshman Sophomore Junior Senior N/A
Current Employer Name
Current Employer Phone Number Current Employer Phone Number - ### - ### ####
May we contact your employer for a reference check?

May we contact your employer for a reference check? Yes No
Have you earned your high school diploma or GED?

Have you earned your high school diploma or GED? Yes No
Are you currently, or have you ever been employed by the state of Texas?

Are you currently, or have you ever been employed by the state of Texas? Yes No
Are you currently, or have you ever been a GTA, MUTA, or Standardized Patient for Texas A&M University?

Are you currently, or have you ever been a GTA, MUTA, or Standardized Patient for Texas A&M University? Yes No

PETA Application

PETA Application

Page 1 of 4 - Page 1