Application For Employment

1- General Information

Position Applied for:
Field of Specialization:
Date of Availability for KFUPM Employment:
Name of Applicant:  
First:
Middle:
Last:
Date of Birth:
Place of Birth:  
City:
Country:
Citizenship:  
At Present:
At Birth:

Present Address:
Nearest Airport:
                                                         
Telephone:  
Residence:
Work:

Permanent Address:
Nearest Airport:
Telephone:  
Residence:
Work:
Fax (Work):
Nearest Airport:
Point of Origin (Place of residence according to Passport):
Father's Name:
Have you applied for job at KFUPM before? If yes, when?
Were you interviewed before? If yes, when?
Have you ever worked for KFUPM? If yes, when?
Indicate briefly why you are interested in KFUPM Employment:
Names of relative(s) employed by this University:

2- Education

Last degree completed:
Is degree honorary or earned? Honorary
Earned
Year of Graduation:
Name and address of Institution:
Languages spoken (Other than English):
Type of
Institution 		Name of Institution & Location
(City / Country)

Attended

 Year 
Graduated		 Certificate,
Diploma, Degree, or
other earned		  Subject(s) of
Specialization
(Major/Minor)
From To
Month Year Month Year
Secondary/
High School
College or
University
Vocational,
Military, or
any other
Institution
Title of Thesis with degree:
Abstract:  

3- Research, Publications & Professional Activities

(Provide following information in figures and attach lists with full details) 

Papers published in refereed journals Papers published in other periodicals
Research projects completed Research projects in progress
Books published Books in progress
Seminars attended Participation in Univ./Dept./Thesis Committees
Membership in or Affiliation with Professional Societies:

4- Previous Experience

List present or last position first and continue in reverse chronological order:

Name & Address of Employer Position
or Rank		 From To Last
Annual
Salary		 Reasons
for
change
Month Year Month Year
In addition to present salary in your current employment, show total monetary value of all employer-paid benefits, allowances:
Show total financial compensation earned per year for consulting fees, honoraria, etc:

5- Health & Personal Interests

Height: Weight:
1. Specify any past or present mental or physical disability or serious illness:
2. Your interest in extracurricular activities:
3. Have you ever been convicted for involving yourself in any criminal, political or other activities? If yes, explain:

6- References

List four persons, including your present employer, to whom  we may write about you.
Please provide hereunder complete name and mailing addresses of your referees:

Full Name

Complete mailing address (No abbreviations)
1-
2-
3-
4-

Information for VISA Application and Residence

1- Applicant

Name of Applicant:  
Sex: Male   Female
Religion: (A religious certificate/affidavit will be required by the Saudi Consulate for visa purposes).
Family Status:
 Single   Engaged   Married   Separated   Divorced

2- Spouse

Name of Husband/Wife (Maiden):
Religion:
Date of Birth:
Citizen of:  
At Present:
At Birth:

List special skills of Spouse:

Name of Spouse's Father:

3- Children

Name

  Sex

Date of Birth

 Grade in School  Citizen of
First Middle Last Month Day Year

Please indicate clearly if any step and/or adopted children are listed above.

4- Residence Needs in Saudi Arabia

Check who will accompany you to Saudi Arabia:
Spouse: Yes No
Children (First Names Only):
1. 2. 3.
4. 5. 6.

 

The above information is true and complete.
Applicant's E-mail Address:
Date:

Note: For any comments or queries about this form, please an e-mail to:

Dr. Al-Mulhem, Muhammad S.
Dean of Educational Services

Tel. (+966-3) 860-2394
Fax (+966-3) 860-2341
E-Mail: mulhem@kfupm.edu.sa