Application for Part-Time·Research Faculty Position of KAIST

Department applied to			Field of study
Position applied for	□ Invited professor ( □ part-time □ full-time )					□ Research Faculty
	□ Lecturer	□ Adjunct professor		□ Visiting professor

1		Personal Information

Name	(Korean)		(English)
Nationality
Current Employer (Department)			Position
Contact Information	Address
	Phone Number	(Office)	Mobile
		(Home)	E-mail
Woman scientist / technician*	□ Check here if applicable ※ This is to confirm whether the applicant is a woman scientist/technician under Article 13 (Persons Subject to Affirmative Action) of the Enforcement Decree of the Act on Fostering and Supporting Women Scientists and Technicians.

2		Academic Background

Degree Type	Period (month, date, year)		Department (Major)	Specialized Area of Study
	Date of Entry	Date of Graduation
Doctoral	mm. dd. yyyy	mm. dd. yyyy
Master’s	mm. dd. yyyy	mm. dd. yyyy
Bachelor’s

3		Major Work Experience

Institution	Period (month, date, year)		Position	Responsibilities
	Start Date	End Date
	mm. dd. yyyy	mm. dd. yyyy
	mm. dd. yyyy	mm. dd. yyyy
	mm. dd. yyyy	mm. dd. yyyy

※ Please attach the following documents:

1) Summary of Key Achievements	2) Academic/Research Achievements	3) Plan of Activities	4) CV	5) Consent to Collection and Use of Personal Information

List of academic and research achievements should include academic journal publications, workshop/symposium/conference papers, invited seminars/lectures, authored/translated books(entire volume/chapter/articles), research projects undertaken, patents (registration and application), etc. (Please mark your name in bold and underline the (co-)corresponding author and co-first authors.)

I, the undersigned, hereby certify that the information provided herein and in other documents submitted are true and correct to the best of my knowledge, and apply for the position of (invited professor, part-time lecturer, adjunct professor, visiting professor, research faculty)

of KAIST.

mm. dd. yyyy

Applicant :        (signature)

I, the undersigned, hereby consent to the appointment of the above applicant as (adjunct professor, visiting professor) of KAIST.

mm. dd. yyyy

Head of the Current Employer   (signature)

If the consenter is not the head of the current employer

Title:	Name: (Signature)

Note 1) This section requiring the consent of the head of the current employer is applicable to the applicant for adjunct or invited professor position only; if the head of the relevant department or research center submits a statement of reasons, it may be omitted.

Note 2) If the consenter is not the head of the current employer, the head of the relevant department or research center must submit a statement of reasons.

Summary of Key Achievements(Fill out applicable information only)

a. Main Teaching Experience

□ Lecture [List the course name(credit), time period, and institution.

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b. Paper Publication Performance

[Paper title, journal name, month/year of publication, authorship classification (corresponding author, co-author, etc.), impact factor, number of citations, etc.]

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□

c. Main Research Achievements

□ Research projects undertaken [Project title, funding institution, duration of research, total amount of funding,

responsibilities (serving as a principal investigator or not, etc.)

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-

□ Patent[Patent title, inventor (applicant), registration year, registered country, registration number]

-

-

□

d. Other Notable Achievements

[Notable distinctions of research achievements, awards, membership to

professional societies, scholastic activities, etc.]

□

□

※ There is neither prescribed format nor prescribed length.(Use a separate sheet, if necessary.)

2. Plan of Activities (Fill out applicable information only)

※ There is neither a prescribed format nor prescribed length (use a separate sheet, if necessary)

Consent to Collection·Use of Personal Information

Purpose of Collection/Use	KAIST collects personal information to examine job competency, qualifications, characteristics, etc. of the applicant. The personal information you provide will be used for the applicant screening including document screening and interview, and selection purposes only.
Items to Be Collected	Personal identification information(name, e-mail address, contact information, etc.), job-related education, experience, academic/research achievements, qualifications, etc.
Retention/Use Period	Personal information provided is retained and used by KAIST employees who are part of the recruitment and hiring process only, and shall be deleted and destroyed after the retention purpose is achieved.
Right to Refuse to Agree	Consent to collection/use and provision of personal information may be rejected. However, if an applicant does not agree, his/her application will not be accepted because it makes it impossible to actually proceed with the recruitment process.
I confirm that I have read and understand the content of this Consent Form, and agree to the collection, use, and provision of the personal information I have provided in the application form for the aforementioned purpose and period. mm.dd.yyyy Applicant: (signature)