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PHAROS UNIVERSITY

ALEXANDRIA

Photo

1. Position for which you are applying:


Position:

Professor

Associate Professor

Lecturer

Faculty: .........................................................
Pharmacy
Dentistry
Engineering
Legal studies
Business Administration
Languages and Translation

Tourism and Hotel Management


Physical Therapy
Mass Communication
Allied Medical Sciences
Arts & Design

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 Study

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Dates Attended
From
To

Degree
Awarded

Grade
or
GPA

3. Employment Record*:
Current Employment
Institution:........................................

Address:...........................................

Telephone:........................................
Fax:..................................................

Position:...........................................

Dates Employed
From..................... To.....................

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

Most Recent Salary..........................

Reason for Leaving........................................................................................

Employment History
Institution

Address

Employment Dates

Position(s)

From

To

Most
Recent
Salary

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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Reason for
Leaving

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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