PUA Academics Application Form

5/12/2018 PUA Academics Application Form - slidepdf.com

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PHAROS UNIVERSITY

ALEXANDRIA

Personal Information:

Full Name ................................................... ................................................ .....................................................

First Middle Last

Date of birth: Place of birth: Current position :

Current Position

Current Contact Information:

Street:............................................................................... City: .............................................State: .............................

Country:......................................................................E-mail:........................................................................................

Telephone (Cell):...................................... Telephone (Office):................................... Fax:........................................

2. Education*:

Institution Field of StudyDates Attended

From To

Degree

Awarded

Gradeor

GPA

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1. Position for which you are applying:

Position: □ Professor □ Associate Professor □ Lecturer

Faculty: .........................................................

□ Pharmacy □ Tourism and Hotel Management

□ Dentistry □ Physical Therapy

□ Engineering □ Mass Communication

□ Legal studies □ Allied Medical Sciences

□ Business Administration □ Arts & Design

□ Languages and Translation

Photo



3. Employment Record*:

Current Employment

Institution:........................................ Address:........................................... Telephone:.......................................

Fax:..................................................

Position:........................................... Dates EmployedFrom..................... To.....................

Responsibilities................................

Most Recent Salary.......................... Reason for Leaving........................................................................................

Employment History

Institution Address Position(s)Employment Dates

Most

Recent

Salary

Reason f

LeavingFrom To

4. Academic Ranks

Please list your academic ranks chronologically starting with the most recent.

Rank Date Awarded

5. List courses you have previously taught.

Course Institution Date

6. List your publications chronologically starting from the most recent (Up to 5).

7. Identify research grants, topic and amount, that you have obtained during your career.

8. State your reasons for applying to Pharos University Alexandria

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9. If you have relatives employed by Pharos University Alexandria, please name them and their

positions

10. References: List the names and contact information for three references familiar with your

professional background whom we can contact.

Name Position Contact information

I am applying for a faculty position at Pharos University Alexandria. I confirm that to the best of my knowledge the information

contained in this application form is accurate. False or misleading information presented in the application and/or the attached

curriculum vitae will constitute sufficient ground for rejecting my application or for terminating my employment at any time.

Signature: Date:

Do not write below this line (for official use only)

Remarks

Academic committee decision

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Documents

PUA Academics Application Form