ULSA FACULTY APPLICATION |
Title: Mr/Ms/Mx/Dr
Name:
Date of Birth: DD-MON-YYYY
Place of Birth:
Citizenship Status: US Citizen/Permanent Resident/Work Visa/Other (please specify)
Contact Number:
Residential Address:
Criminal Record: Yes/No
Faculty Job Title: Role Name
Subjects: (please fill this in if applying for associate professor)
Source of Referral: (Where did you hear about the vacancy? If through a current staff member, please specify)
Reinstatement Inquiry: Yes/No (specify whether you are reinstating)
Promotion Inquiry: Yes/No (specify whether you are applying as a promotion)
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I, Forename Surname, understand and give my consent to the Office of Executive Affairs to contact the necessary Law Enforcement Authorities and request a copy of my criminal record. I also understand that such a copy will be used in confidentiality, pertaining only to my personal file, out of access to non-authorized personnel.
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Organization Name:
Position Held:
Length of Employment:
Reason for Departure:
Organization Name:
Position Held:
Length of Employment:
Reason for Departure:
Organization Name:
Position Held:
Length of Employment:
Reason for Departure:
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Institution Name:
Dates of Attendance: MON-YYYY to MON-YYYY
Degree Subject:
Degree Level: Masters/Doctorate (if applicable)
Institution Name:
Dates of Attendance: MON-YYYY to MON-YYYY
Degree Subject:
Degree Level: Bachelors/Masters (if applicable)
Institution Name:
Dates of Attendance: MON-YYYY to MON-YYYY
Degree Subject:
Degree Level: Associates/Bachelors (if applicable)
Other Qualifications or Certifications: NCAA certification, RN license, First Aid certification, Hand and Power Tools Certification, etc.
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Motivational Letter: Please explain why you have applied for this role.
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OUT-OF-CHARACTER INFORMATION |
Username: (from /stats)
Discord:
GTAW Forum Link:
Age:
Timezone:
Dual-Faction Status: Are you in another faction on this character?
Admin Record: Provide an unedited and time-stamped screenshot from your UCP.
Stats Picture: Provide an unedited and time-stamped screenshot using /stats or UCP.
Character Backstory: Provide an optional backstory for your character.
Character Photo:- [+] Photo
By submitting this, I accept and agree that this section has been filled out truthfully. Additionally, I acknowledge that any OOC lying will result in a server report and faction ban from ULSA.
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[table2=left,90,0,auto][tr=0,0][td][center][img]https://i.imgur.com/VuksKcd.png[/img]
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[b][size=150]ULSA FACULTY APPLICATION[/size][/b][/center][/td][/tr][/table2]
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[table2=left,90,0,auto][tr=#2973B0,white][td][b][size=100]PERSONAL INFORMATION[/size][/b][/td][/tr][/table2]
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[b]Title:[/b] Mr/Ms/Mx/Dr
[b]Name:[/b]
[b]Date of Birth:[/b] DD-MON-YYYY
[b]Place of Birth:[/b]
[b]Citizenship Status:[/b] US Citizen/Permanent Resident/Work Visa/Other (please specify)
[b]Contact Number:[/b]
[b]Residential Address:[/b]
[b]Criminal Record:[/b] Yes/No
[b]Faculty Job Title:[/b] Role Name
[b]Subjects:[/b] (please fill this in if applying for associate professor)
[b]Source of Referral:[/b] (Where did you hear about the vacancy? If through a current staff member, please specify)
[b]Reinstatement Inquiry:[/b] Yes/No (specify whether you are reinstating)
[b]Promotion Inquiry:[/b] Yes/No (specify whether you are applying as a promotion)
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[table2=left,90,0,auto][tr=#2973B0,white][td][b][size=100]BACKGROUND CHECK[/size][/b][/td][/tr][/table2]
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I, [b]Forename Surname[/b], understand and give my consent to the Office of Executive Affairs to contact the necessary Law Enforcement Authorities and request a copy of my criminal record. I also understand that such a copy will be used in confidentiality, pertaining only to my personal file, out of access to non-authorized personnel.
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[table2=left,90,0,auto][tr=#2973B0,white][td][b][size=100]PROFESSIONAL HISTORY[/size][/b][/td][/tr][/table2]
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[b]Organization Name:[/b] Most Recent Employer
[b]Position Held:[/b]
[b]Length of Employment:[/b]
[b]Reason for Departure:[/b]
[b]Organization Name:[/b]
[b]Position Held:[/b]
[b]Length of Employment:[/b]
[b]Reason for Departure:[/b]
[b]Organization Name:[/b] Least Recent Employer
[b]Position Held:[/b]
[b]Length of Employment:[/b]
[b]Reason for Departure:[/b]
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[table2=left,90,0,auto][tr=#2973B0,white][td][b][size=100]EDUCATION HISTORY[/size][/b][/td][/tr][/table2]
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[b]Institution Name:[/b]
[b]Dates of Attendance:[/b] MON-YYYY to MON-YYYY
[b]Degree Subject:[/b]
[b]Degree Level:[/b] Masters/Doctorate (if applicable)
[b]Institution Name:[/b]
[b]Dates of Attendance:[/b] MON-YYYY to MON-YYYY
[b]Degree Subject:[/b]
[b]Degree Level:[/b] Bachelors/Masters (if applicable)
[b]Institution Name:[/b]
[b]Dates of Attendance:[/b] MON-YYYY to MON-YYYY
[b]Degree Subject:[/b]
[b]Degree Level:[/b] Associates/Bachelors (if applicable)
[b]Other Qualifications or Certifications:[/b]
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[table2=left,90,0,auto][tr=#2973B0,white][td][b][size=100]PERSONAL STATEMENT[/size][/b][/td][/tr][/table2]
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[b]Motivational Letter:[/b] Please explain why you have applied for this role.
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[/td][/tr][/table2]
[table2=left,90,0,auto][tr=#2973B0,white][td][b][size=100]OUT-OF-CHARACTER INFORMATION[/size][/b][/td][/tr][/table2]
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[b]Username:[/b] (from /stats)
[b]Discord:[/b]
[b]GTAW Forum Link:[/b]
[b]Age:[/b]
[b]Timezone:[/b] UTC +/-
[b]Dual-Faction Status:[/b] Are you in another faction on this character?
[b]Admin Record:[/b] Provide an unedited and time-stamped screenshot from your UCP.
[b]Stats Picture:[/b] Provide an unedited and time-stamped screenshot using /stats or UCP.
[b]Character Backstory:[/b] Provide an optional backstory for your character.
[b]Character Photo:[/b][spoiler=Photo][img]FULL SCREENSHOT OF HEAD AND SHOULDERS AGAINST BLANK BACKGROUND[/img][/spoiler]
[b][center]By submitting this, I accept and agree that this section has been filled out truthfully. Additionally, I acknowledge that any OOC lying will result in a server report and faction ban from ULSA.[/b][/center]
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