Instructions:
If you wish to be considered for academic employment, you must write your name, sign in the spaces
provided below.
By signing this form in the space provided below, you are agreeing to the statements given below. Please read
these statements carefully before signing. If you are unable to understand any aspect of the statements, please ask a staff member in the Academic Resource Center to explain the meaning of the statement to you.
Statement:
I hereby give permission for the staff of the Academic Resource Center of Carnegie Mellon University in Qatar to obtain and review both:
• My academic record as a student of Carnegie Mellon University in Qatar (for example, in the form of an unofficial transcript), and,
• My academic integrity records as a student of Carnegie Mellon University in Qatar (for example, in the form of a report written by the Director of Community Standards for Carnegie Mellon University in Qatar).
This permission is granted and effective immediate upon submission of this application form and remains in force until either the end of my appointment as an undergraduate academic employee, or if I am not offered a position as an undergraduate academic employee, until the end of the hiring process for undergraduate academic employees for the semester in question.
I hereby attest that all of the information stated in this application is truthful and accurate. I understand that if any information provided on this application is subsequently found to be false or distorted, then any employment position(s) that I hold within the Academic Resource Center may be immediately terminated.