Employee Information Form 10

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PERSONNEL INFORMATION FORM

AUC is an equal opportunity employer

1. Personal Information: Date


Full Name
LAST NAME FIRST NAME MIDDLE NAME
Email Address (optional):
____________________________________________________________________________________

2. List all countries of which you are a citizen:

Country Country Country

3. Current Contact Information:


Street

City:

State:

Zip:

Country:

Telephone(Home) Telephone(Office) Fax Email

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4. Permanent Contact Information:
Line 1:

Line 2:

Line 3:

City:

State:

Zip:

Country:

Telephone(Home) Telephone(Office) Fax Email

5. Position for which you are applying:

Academic field Department

6. Education:

Institution Field of Study Degree Dates Attended and


Awarded

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7. Record of Employment:

Dates Employed Reason for leaving

Earlier Positions (omit if included in C.V.)

8. Academic Ranks

Current Rank Date Awarded

Previous Rank Date Awarded

Previous Rank Date Awarded

9. List Courses you have taught:

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10. List in order of preference you would like to teach):

11. Major Publications(omit if included in c.v):

12. Why are you interested in joining the American University of Cairo?

13. Name relatives, if any, employed by AUC:

14. Describe any previous direct experience with Middle East through research, other academic work,
travel etc.

15. Aside from teaching or research what interests and abilities do you have that would add to the life of
the students in the Middle East?

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16. References: List the name and contact information for three references familiar with your professional
background (omit if provided in c.v or original letter or application). Please mark with an asterisks (*)
any whom you do not wish us to contact without your prior consent.

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