ذدà،±ل>‏ے <>‏ےےے;ےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےےى¥ء` ً؟ھbjbjو‡و‡ ."„ي„يھےےےےےے¤ 4ààààى4گ$ïïï$´h!ک5 'ïï''5 غJ£££' £'££ £0¨ï÷Dةà1£م,`0گ£´!GR´!£´! £@ïL;6£q,‌ٹïïï55™ ïïïگ''''4dککdüن4ککü444 ےےےےTHE بص±¾ز»¼¶ئ¬ Application for Employment Full-Time Faculty (An AA/EEO Employer/Educator) In compliance with federal and state equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status or because he or she is mentally or physically handicapped/disabled, a disabled veteran, or a veteran of the Vietnam Era, or any other military campaign. _____________________________________________________________________________________ Please Print Name__________________________________________ Social Security No. _____________________ Address______________________________________________________________________________ (Street) (City) (State) (Zip) Phone ______________________________ Email_________________________________________ _____________________________________________________________________________________ For what position(s) (department) are you applying? _________________________________________ Were you employed here previously? Yes ( No ( If yes, when and in what capacity? _____________________________________________________________________________________ How did you hear about this position ?______________________________________________________ If you are now employed may we contact your present employer? Yes ( No ( If yes, please identify the person, title, address and telephone number. ____________________________ _____________________________________________________________________________________ Have you ever been convicted of or pled guilty to a criminal offence (including but not limited to Robbery, Assault, Shoplifting, Perjury, Forgery, Fraud, Theft, or the Use, Possession, Distribution, Sale or Manufacture of Drugs, etc) Yes ( No ( If yes, give date and disposition ________________ ____________________________________________________________________________________ Do you have the current legal right to work in the United States? Yes ( No ( CURRICULUM VITA Please attach your curriculum vitae that includes educational background and degrees earned, complete employment history, publication or other scholarly record, references, and other pertinent information related to your career history. Note: If you have not already done so, you should arrange to have official transcripts of your highest degree sent to the department chairperson or chair of the search committee. REFERENCES (If not included on your vitae, give name, title, address and phone number of three references not related to you.) 1.___________________________________________________________________________________ 2.___________________________________________________________________________________ 3.___________________________________________________________________________________ I agree, if hired, to conform to the rules and regulations of The بص±¾ز»¼¶ئ¬. My employment would be subject to the conditions set forth in the Faculty Handbook and Faculty Contract, The facts set forth in this application are true and complete. I understand that false statements on this application shall be considered as sufficient cause for rejection of my application or immediate termination of employment. 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