Apply for Adjunct Faculty, Computer Science Graduate Program – Theory of Computation

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Summary
Title:	Adjunct Faculty, Computer Science Graduate Program – Theory of Computation
ID:	1382
Department:	Business Department
Contact Information
* First Name:
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Application for Employment Rev 1

PERSONAL INFORMATION

* Do you now or will you in the future require sponsorship to work in the U.S.?:

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* Are you at least 18 years or older? (If no, you may be required to provide authorization to work):

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* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:

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EMPLOYMENT DESIRED

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EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location	Did you Graduate?	Degree Received	Subjects Studied/Major
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If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

EMPLOYMENT HISTORY

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EMPLOYER 1

Dates Employed	Employer Name & Address	Employer Phone
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Responsibilities	Reason for Leaving	Salary/Hourly Rate
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EMPLOYER 2

Dates Employed	Employer Name & Address	Employer Phone
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Job Title	Supervisor Name & Title	May we Contact?
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Responsibilities	Reason for Leaving	Salary/Hourly Rate
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EMPLOYER 3

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Job Title	Supervisor Name & Title	May we Contact?
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Responsibilities	Reason for Leaving	Salary/Hourly Rate
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AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

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