Academic Staff Application Form

ACADEMIC STAFF APPLICATION FORM

The British University in Dubai, PO Box 345015, Dubai, UAE

BASIC DETAILS

Position applied for: / Business Management
Rank applied for / Assistant Professor / Associate Professor / Professor (choose any one)
Vacancy Code: / 011-BMT1117
Name:
(Title) / (First Name) / (Family Name)
Date of Birth: / Current Residing Country
Passport Nationality: / Type of Visa
Passport No. / Place of Birth
Contact Residential Address / Permanent Address (if different)
House No.
Building Name
Street Name
Nearest Landmark
State
Country
Telephone No.
Mobile No.
Email id

ACADEMIC AND PROFESSIONAL QUALIFICATIONS

(from graduate to doctoral qualifications, any relevant courses, membership of professional bodies or associations)

Year of passing / Institutions Name and Country / Degree / Major Subject

Note: Should an offer employment be extended to you, we will verify your qualifications with the issuing institute

CURRENT JOB DETAILS

Current Organization:
Current title:
Salary:
Basic-
Housing Allowances-
Education Allowances-
Transport Allowances-
Annual Flight-
Medical Benefits-
Any other benefits-

EMPLOYMENT HISTORY

(please commence with the most recent employer. Please explain any break in the employment)

Organization’s name -
Organization’s address-
Job title -
Period of employment -
Main Duties -
Organization’s name -
Organization’s address-
Job title -
Period of employment -
Main Duties -

APPLICATION PROFILE

Describe what major contributions you feel you have made in your previous employment and what will you bring to BUiD ?

Please state how your qualifications and experience make you suitable for this post?

MEDICAL HISTORY:

Please advise of any serious illness/conditions and any treatment of medication you are receiving.

CRIMINAL RECORD:

Do you have any police, court or criminal record of any kind or any actions pending against your? Yes / No (If yes, please provide full details on a separate sheet)

FRIENDS OR RELATIVES:

Do you have any friends or relatives working for the BritishUniversity in Dubai. Please give names

If yes, please give names

MEDIA SOURCE

How did you find out about this post and the BritishUniversity in Dubai?

PREVIOUS APPLICATIONS

Have your previously applied to the BritishUniversity in Dubai? Yes / No

(If yes, please give post name and number)

AVAILABILITY

Should you be selected, when you would be available to take up employment?

DECLARATION

I certify that the information provided above is correct. I understand that any deliberate false statement could lead to termination of contract. I understand that any offer of employment is subject to the receipt of references, employment visa and completion of a Government medical examination in the United Arab Emirates.

NAME:

SIGNATURE:DATE: