Application for Adjunct Faculty Position
Oklahoma Christian University complies with all laws regarding nondiscrimination in employment, including those with
respect to race, color, age, gender, national origin, marital status, military service, and disability. As a religious
educational institution the University is permitted by law to consider religious beliefs and practices in making
employment decisions and the University does so to achieve its mission.
Date: Social Security Number: Drivers License Number:
Name: Dr. Mr. Ms. Mrs.
Last First Middle
Address:
City: State: Zip:
Home Phone: Mobile Phone: Work Phone:
E-mail Address:
Spouse Name: Do you smoke? Yes No Do you use illegal drugs? Yes No
Have you ever been convicted of a misdemeanor or felony? Yes No
If yes, please provide details on a separate page.
Are you a United States Citizen? Yes No
If no, are you currently authorized to work in the United States on a full time basis for any employer? Yes No
If yes, will you require now or in the future employment visa sponsorship? Yes No
If no, what is your current immigration status?
Because of the religious tenets held by Oklahoma Christian University and its governing Board, it is necessary that we
obtain the following information:
Church Membership: Church of Christ Other
Specific Name and Address of Home Congregation:
Education
List all degrees and granting institutions. We must have official transcripts on file before we contract with you to teach.
Degree Institution Date
Degree Institution Date
Degree Institution Date
Degree Institution Date
Teaching Experience
List all teaching experience. Please include subject, date and institution.
Date Course Name Institution
Add additional experience on separate sheet if required.
Availability
Please check choices of availability:
Semester/Day Priority Time
Fall Preferred Available Unavailable
Spring Preferred Available Unavailable
Summer Preferred Available Unavailable
Monday Preferred Available Unavailable Morning Afternoon Evening
Tuesday Preferred Available Unavailable Morning Afternoon Evening
Wednesday Preferred Available Unavailable Morning Afternoon Evening
Thursday Preferred Available Unavailable Morning Afternoon Evening
Friday Preferred Available Unavailable Morning Afternoon Evening
Online Preferred Available Unavailable
Employment Data
Were you previously employed by Oklahoma Christian University? Yes No
If yes, when and in what capacity?
Do you have any relatives employed by Oklahoma Christian University? Yes No
If yes, name and relationship.
List below your employment history beginning with you most recent position. You may refer to resume or CV. Please
fill in blanks for any items not listed on the resume or CV.
1. Employer Dates employed: from to
Address Salary
Job Title Work Performed
Supervisor Supervisor Phone
Reason for leaving
2. Employer Dates employed: from to
Address Salary
Job Title Work Performed
Supervisor Supervisor Phone
Reason for leaving
3. Employer Dates employed: from to
Address Salary
Job Title Work Performed
Supervisor Supervisor Phone
Reason for leaving
References
List three persons who are not related to you and who have knowledge of your qualifications.
1. Name Years Known
Address
Phone Number E-mail
Business/Occupation
2. Name Years Known
Address
Phone Number E-mail
Business/Occupation
3. Name Years Known
Address
Phone Number E-mail
Business/Occupation
Attachments
Resume or CV Copy of Transcripts
Philosophy of Teaching
Applicant Agreement Read carefully before signing.
I certify that the statements or information furnished by me in this application are true and correct. I understand that any
false answers or information given in this application or any supplement thereto, or the omission of pertinent information
may result in withdrawal of any employment offer, or if hired, immediate dismissal. I also understand that any offer of
employment or employment is conditioned on a satisfactory background check.
I hereby authorize Oklahoma Christian University to make a thorough investigation of my employment record and
references, authority to request a college transcript, a credit report, criminal conviction report, liens, driving history, and
other public records for employment purposes. I hereby release Oklahoma Christian University and all persons,
companies or corporations supplying such information from liability or responsibility in connection with such
investigation.
I understand that nothing contained in this application or in the granting of an interview is intended to create any
agreement between Oklahoma Christian University and myself for either employment or the provision of any benefit. I
understand that my employment, if employed, can be terminated, with or without cause, at any time by the university or
myself.
Signature Date
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