Part-Time Faculty Information Form

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Human Resources
Ohio Dominican University
1216 Sunbury RD
Columbus OH 43219

(614) 251-4557
hr@ohiodominican.edu

Part-Time Faculty Information Form
Please provide your personal information.
First Name:		Last Name:
Street Address:		City:
State:		Zip Code:
Email Address:		Day-Time Phone:
Please provide your past and current position(s) information.
Employer	Title	Start Date	End Date
Position 1

Position 2

Position 3

Please provide your teaching experience including courses instructed, institutions, and dates.
Course Instructed	Institution	Start Date	End Date
Experience 1

Experience 2

Experience 3

Please provide your educational background including degrees held, dates, and institutions attended.
College/University	Major	Degree	Date
Educational Background 1

Educational Background 2

Educational Background 3


What area(s) are you interested in teaching? Please check all that apply.
Accounting:	Art:	Biology:	Business Ethics:
Business Law:	Chemistry:	Communication:	Computer Application:
Computer Info Systems:	Criminal Justice:	Earth & Space Science:	Economics:
Education:	English:	Environmental Science:	History:
Humanities:	Geography:	Management:	Marketing:
Mathematics:	Philosophy:	Political Science:	Psychology:
Public Speaking:	Sociology:	Social Work:	Statistics:
Theology:

What format(s) are you intersted in teaching? Please check all that apply:
Daytime: \| Evening: \| Weekend:
Other information you wish to provide: