Inquire About Teaching Opportunities Form

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Division of Graduate Professional Studies
Brandeis University
Rabb School of Continuing Studies
415 South Street
P.O. Box 549110, Mailstop 084
Waltham, MA 02454-9110
781-736-8787 Phone
781-736-3420 FAX
gps@brandeis.edu
www.brandeis.edu/gps

Thank you for your interest in teaching for Graduate Professional Studies. Please complete all of the information below. Note that you do not need to Login in order to submit the form.

We encourage all applicants to first review our program and course descriptions that align with your specific areas of interest. Program descriptions along with required/elective course descriptions may be found from http://www.brandeis.edu/gps/programscourses/programs/index.html.

It is the policy of Brandeis University not to discriminate against any applicant or employee on the basis of race, color, religion, sex, sexual orientation, age, genetic information, national origin, veteran status, or disability. The University operates under an affirmative action plan and encourages women, persons with disabilities, and veterans to apply.

Your Contact Information and Background:

Last Name*
First Name*
Middle Initial
Address Line 1*
Address Line 2
City*
State*
Zip Code*
Country*
Email Address*
Daytime or Mobile Phone Number*

Evening Phone Number
Gender*
Ethnicity*
Highest Education Level*

Please list the institutions and dates (month/year) corresponding to each degree earned:*

Have you ever been an employee of Brandeis University?*

Are you a graduate of Brandeis (undergraduate or graduate)?*

Country of Citizenship*

Are you legally authorized for employment in the United States? *

Do you currently reside in the United States?*

Employer Information. Note: Please complete these fields based on your Current or Most Recent employer.

Employer Name*
Job Title*
Employer Address Line 1*

Employer Address Line 2

Employer City*
Employer State*
Employer Zip Code*
Employer Country*
Employer Industry*
Date of Last Employment (enter today's date if presently employed)*

Programs and/or Courses of Interest:

Degree Program of Interest (check all that apply)*
	Bioinformatics Health and Medical Informatics Information Security Information Technology Management Management of Projects and Programs Software Engineering Virtual Management
List specific course(s) of interest, either from a posted position or based on your review of our available programs and courses.*

Describe how your background and expertise aligns with the qualifications required of your course(s) of interest.*

Describe why you are interested in teaching for GPS.*

Please tell us how you heard about the position.*
	GPS faculty referral GPS student referral GPS web site Professional association LinkedIn Advertisement Your status as a Brandeis degree recipient Other
Please include any additional comments that you wish to share at this time.

Resume (attachment)*
Submitted files are immediately emailed to form recipients and are not stored on the server.
Date of Inquiry*
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