Adjunct Application

Name:
Email Address: 
Phone Number: 

Degrees earned and/or in progress and institutions:

Teaching Experience:

1. Institution:
    Dates:
    Courses taught:
    Select one or more:

2. Institution:
    Dates:
    Courses taught:
    Select one or more:

3. Institution:
    Dates:
    Courses taught:
    Select one or more:

Do you have experience using Blackboard?

    

Department/s you are interested in teaching for:
Semester(s) interested in teaching in:  :
Have you ever worked at Fort Hays State University?

    

If yes,
    Dates:
    Job title:
    Supervisor's name:

 

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