PAUWES Call for Short-Term Lecturers

PAUWES Call for Short-Term Lecturers
Personal History
What course are you applying for?

Select up to 5 courses
Number of Courses *

1 2 3 4 5
Course 1 *
course 1
Course 2
course 2
Course 3
course 3
Course 4
course 4
Course 5
course 5
Name *

First Name Last Name
Gender *

Male Female
Date of Birth *

- Day - Month Year
Date
Place of Birth *
Citizenship at Birth *
Present Citizenship if different *

Permanent Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Present Address (If different)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Telephone No *

- Country Code - Area Code Phone Number
Office Telephone No

- Country Code - Area Code Phone Number
Office Fax No.

- Country Code - Area Code Phone Number
Contact e-mail address *
example@example.com
Marital Status *
Number of Children (if any) *
Have you previously submitted an application for short-term lecturing at PAUWES? *

YES NO
Have you previously taught course (s) at PAUWES as short-term lecturer? *

YES NO
If you responded “Yes”, please provide the following information:
1 Academic Year of Teaching
1 Course Taught
2 Academic Year of Teaching
2 Course Taught
3 Academic Year of Teaching
3 Course Taught
KNOWLEDGE OF LANGUAGES.
What is your mother tongue? *
Language Proficiency

Arabic English French Portuguese Kswahili Spanish

List any software applications in which you are proficient
EDUCATION

Give full details
N.B. Please give exact name of institution of degrees and titles in original language. Please do not translate or equate to other degrees.
Number of Degrees *

1 2 3 4 5
A. University or equivalent
1 University or equivalent (Name, place and country) *
1 From *

- Day - Month Year
Date
1 To *

- Day - Month Year
Date
1 Degree and academic distinction *
1 Main course of study *
2 University or equivalent (Name, place and country) *
2 From *

- Day - Month Year
Date
2 To *

- Day - Month Year
Date
2 Degree and academic distinction *
2 Main course of study *
3 University or equivalent (Name, place and country) *
3 From *

- Day - Month Year
Date
3 To *

- Day - Month Year
Date
3 Degree and academic distinction *
3 Main course of study *
4 University or equivalent (Name, place and country) *
4 From *

- Day - Month Year
Date
4 To *

- Day - Month Year
Date
4 Degree and academic distinction *
4 Main course of study *
5 University or equivalent (Name, place and country) *
5 From *

- Day - Month Year
Date
5 To *

- Day - Month Year
Date
5 Degree and academic distinction *
5 Main course of study *
B. For general service position only: list other relevant education or training
Number of Certificates or diplomas *

1 2 3 4 5
1 Institution name, place and country *
1 Institution Type *
1 From *

- Day - Month Year
Date
1 To *

- Day - Month Year
Date
1 Certificate or Diploma obtained *
2 Institution name, place and country *
2 Institution Type *
2 From *

- Day - Month Year
Date
2 To *

- Day - Month Year
Date
2 Certificate or Diploma obtained *
3 Institution name, place and country *
3 Institution Type *
3 From *

- Day - Month Year
Date
3 To *

- Day - Month Year
Date
3 Certificate or Diploma obtained *
4 Institution name, place and country *
4 Institution Type *
4 From *

- Day - Month Year
Date
4 To *

- Day - Month Year
Date
4 Certificate or Diploma obtained *
5 Institution name, place and country *
5 Institution Type *
5 From *

- Day - Month Year
Date
5 To *

- Day - Month Year
Date
5 Certificate or Diploma obtained *
EMPLOYMENT RECORD

starting with your present employment, list in reverse order every position you have held. Use separate block for each post. If you need more space, attach additional pages of the same size.
Number of Positions *

1 2 3 4 5
1 From *

- Day - Month Year
Date
1 To *

- Day - Month Year
Date
1 Name of employer *
1 Address of Employer *
1 Type of Business *
1 Exact Title of your Post *
1 Description of your duties and achievements *
2 From *

- Day - Month Year
Date
2 To *

- Day - Month Year
Date
2 Name of employer *
2 Address of Employer *
2 Type of Business *
2 Exact Title of your Post *
2 Description of your duties and achievements *
3 From *

- Day - Month Year
Date
3 To *

- Day - Month Year
Date
3 Name of employer *
3 Address of Employer *
3 Type of Business *
3 Exact Title of your Post *
3 Description of your duties and achievements *
4 From *

- Day - Month Year
Date
4 To *

- Day - Month Year
Date
4 Name of employer *
4 Address of Employer *
4 Type of Business *
4 Exact Title of your Post *
4 Description of your duties and achievements *
5 From *

- Day - Month Year
Date
5 To *

- Day - Month Year
Date
5 Name of employer *
5 Address of Employer *
5 Type of Business *
5 Exact Title of your Post *
5 Description of your duties and achievements *
List Professional memberships and activities in civic, public or international affairs
Number of Memberships *

0 1 2 3 4 5
1 Membership *
2 Membership *
3 Membership *
4 Membership *
5 Membership *
List the last five significant publications (if applicable) you have written that are related to the course you are applying to.
Number of Publications *

0 1 2 3 4 5
1 Publication *
2 Publication *
3 Publication *
4 Publication *
5 Publication *
How many years of teaching experience have you gained? *
How many years of research experience have you gained? *
How many master students have you supervised in your life? *
How many PhD students have you supervised in your life? *
Sector-Cross experiences
Private sector and industry *

Yes No
Public Sector *

Yes No
Political / Civic society networks *

Yes No
Linkage to:
International academic networks *

Yes No
International Professional networks *

Yes No
Political/civic society networks *

Yes No
Commitment and experiences:
Institutional and program development (if applies) *

Yes No
Leadership and management *

Yes No
Expected symbolic value added to the institute *

Yes No
REFERENCES

List three persons, not related to you, who are familiar with your character and qualifications.
1 Full Name *

Prefix First Name Last Name
1 Contact Email *
example@example.com
1 Profession *

1 Postal Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

2 Full Name *

Prefix First Name Last Name
2 Contact Email *
example@example.com
2 Profession *

2 Postal Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

3 Full Name *

Prefix First Name Last Name
3 Contact Email *
example@example.com
3 Profession *

3 Postal Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please provide any other relevant information in support to your application.
I certify that the statements made by me in answering the foregoing questions are true, complete and correct to the best of my knowledge and belief. I understand that any misrepresentation or material omission made on a Personal History form or other document requested by PAUWES renders me liable to instant termination and dismissal. *

Yes No
Date *

- Day - Month Year
Date
Signature *

Clear
Documents
Complete CV *

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Letter of motivation *

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Statement of Teaching philosophy *

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the document is required for each course in which the candidates applied Cancel of
All other relevant documents in one (1) PDF file *

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