Part-Time Faculty Appointment Form MET Course Number Title Semester DepartmentActuarial ScienceADCPAdministrative StudiesAdvertisingAnthropologyArts Administration/Art HistoryBiologyComputer ScienceCreative WritingCriminal JusticeEconomicsEnglishEN 104/201Food & WineGastronomyHealth CommunicationHistoryInterdisciplinary StudiesMathematicsPhilosophyPrison EducationPsychologySociologyUrban Affairs/City PlanningFull Legal Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Date of Birth* MM slash DD slash YYYY BUID Legal Gender*This is for hiring purposes and will not be disseminated to any employees outside of payroll/HR. Male Female X Preferred Gender* Male Female X Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*BU Email Alternate Email* Check one of following:* A citizen of the United States A lawful permanent resident An alien authorized to work Alien or Admission #:* Primary Employment InformationBU Affiliation (check all that applies)* Current BU Student Former BU Student BU Faculty/Lecturer/Facilitator BU Administrative Staff Former BU Staff No BU Prior Affiliation (New to BU) Have you been paid by Boston University payroll in the past 18 months? Yes No If employed or studying at BU, where? Have you taught this or similar courses at BU in the past three years?* Yes No Please list course, semester and year (e.g. CAS EC 171, Fall 2010, 2011):CourseSemesterYear If yes, please describe:AttachmentsResume*Max. file size: 100 MB.Letters of Reference (up to 3 letters) Drop files here or Select files Max. file size: 100 MB, Max. files: 3. CAPTCHA