APPLICATION FOR

NONTENURE-TRACK FACULTY POSITIONS

The University of Texas at San Antonio

THE UNIVERSITY OF TEXAS AT SAN ANTONIO

APPLICATION for NONTENURE-TRACK FACULTY POSITION

An Equal Opportunity/Affirmative Action Employer

PLEASE PRINT OR TYPE

Name / Last First Middle
Current Home Address / (Street, City, State, Zip) Telephone
Current Business Address / (Street, City, State, Zip) Telephone
Type of Position Desired
Are you legally eligible to work in the U.S.? / Yes / No / Type of Visa ______
Have you ever been employed by The University of Texas System? / Yes / No / Where? ______
When? / ______/ Position Held?
Are you related by blood or marriage to any member of the Board of Regents, or faculty or staff of the UT System?
Yes / No. / If yes, give name and relationship:

EDUCATION

Degree or
Certificate / Date
Conferred / Name and Location of Institution Conferring Degree / Major Subject or Field

Please indicate areas of sub-specialization, if any. Also include special licenses or permits.

PREVIOUS EMPLOYMENT

Please show a full account of your employment beginning with your present or last position including any period when you may not have been employed. Do not leave any periods unaccounted for.

Inclusive Dates:
Month and Year / Institution, Firm, or Organization and Location / Rank, Title, or Position
FROM:
TO:
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Honors, Awards: Please list honors or awards such as Fulbright grants, scholarships, special lectureships, medals, etc., and dates received.
Memberships: Please list memberships, offices held, and service in scholarly societies, accreditation boards, editorial review boards, civic organizations, etc. You may exclude any organization if the name or character could indicate the race, religion, or national origin of its members.
PUBLISHED WRITINGS, RESEARCH, and/or CREATIVE ACTIVITIES
Please attach a chronological list of all significant publications of which you are author or co-author. List also in chronological sequence any other significant evidence of your research and creative activity, such as inventions, architectural designs, musical compositions, paintings, or sculpturesseparately.
PROFESSIONAL REFERENCES INCLUDING CHAIR, DIRECTOR, OR IMMEDIATE SUPERVISOR
(Unless indicated, UT San Antonio will assume that contact can be made to the references listed.)
NAME / ADDRESS / TELEPHONE / POSITION

I certify that the statements made by me on this application and on any attachments or appendices are true, complete, and correct to the best of my knowledge and belief and are made in good faith. I understand that any offer of employment tendered me is contingent upon my agreement to abide by the Rules and Regulations of the Board of Regents of The University of Texas System.

Signature: ______Date: ______

PRIVACY NOTICE

With a few exceptions, you are entitled to be informed about the information U.T. San Antonio collects about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled to receive and review this information. Under Section 559.004 of the Texas Government Code, you are entitled to have U.T. San Antonio correct information about you that is held by us and that is incorrect, in accordance with the procedures set forth in the University of Texas System Business Procedures Memorandum 32. The information that U.T. San Antonio collects will be retained and maintained as required by Texas records retention laws (Section 441.180 et seq. of the Texas Government Code) and rules. Different types of information are kept for different periods of time.