UNIVERSITY OF GHANA UAB FORM 1A
ACADEMIC STAFF APPLICATION FORM
UNIVERSITY OF GHANA
APPLICATION FOR APPOINTMENT AS ……………………………. IN / OF ………………….…………………
Status/position sought subject
IN THE DEPARTMENT/INSTITUTE/ SCHOOL OF …………………………..……………………………………
This form is to be completed (twelve copies) and returned to the Registrar, University of Ghana,
P. O. Box LG25, Legon, Accra, Ghana.
- PERSONAL PARTICULARS:
Surname (BLOCK LETTERS) ……………..…………………………………………………………………………..
First Names………………………………………………………………………………………………………………
Address in full …………….…………………………………………..………………………………………..
…………………………………….……………………………………………………………………………………..
Email ……………………………………………………..………… Telephone No …..………….…………………
Nationality……………………………………….…………… Home Town …..………………………………
Nationality at birth (if different) ………………..………………………………………………………………………
Former names (if any) ……………..…………………………………………………………………………………
Surname at birth (if different) …………………………………………………………………………………………
Date and place of birth …………………………………………………………………………………………………
Marital Status…………………………………… Number of Children…………………………………………..
Sons………………………………………. aged ………………..…………………………………… respectively
Daughters………………………………….. aged ……………………………………………………. respectively - EDUCATION
(i) Where educated: secondary schools, Universities with dates
(ii) Particulars of qualifications (university awards, indicating class of degree, distinction etc and giving the
date and place of award). - DETAILS OF GRADUATE PROGRAMME
(i) Course Work ………………………………………………………………………….….………………
…………………………………………………………………………………………………………………
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(ii) Research Area: ……………………………………………………………………………………..…
…………………………………………………………………………………………………………………
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(Use additional sheet if necessary) - PRESENT APPOINTMENT
Name of Institution/Organization…………………………………………………………………………..
Position indicating dates:
(i) …………………………………………………………………………………
(ii) …………………………………………………………………………………
(iii) …………………………………………………………………………………
(iv) ………………………………………………………………………………
Details of emoluments:……………………………………………………………………………………..
(i) Basic salary in your present position …………………………………………..
(ii) Allowances…………………………………………………………………………
(iii) Others……………………………………………………………………………… - PREVIOUS EMPLOYMENT
Organisation Dates Worked Position Held
(i) ………………………………. … …………………… ……… …………………..…..…….…………
(ii) ………………………………. … …………………… ……… ………………………………………
(iii) ………………………………… ……………………… …… ………………………………………
(iv) ………………………………… ……………………… …… …………..…………………………. - TEACHING EXPERIENCE
Institution Dates Full/Part Time Subjects Taught and at
what Level - LIST OF PUBLICATIONS (All references cited must be exact and complete)
A. BOOKS (Please indicate publisher and date of publication)
(i) …..………………………………………………………………………………………………………
(ii) …………………………………………………………………………………………………………
(iii) …………………………………………………………………………………………………………
(iv) …………………………………………………………………………………………………………
(v) …………………………………………………………………………………………………………
(vi) ………………………………………………………………………………………………………….
(use extra sheet if necessary)
B. ARTICLES (in refereed journals indicating name of Journal, date and pages)
(i) ………………………………………………………………………………………………………..…
(ii) ……..……………………………………………………………………………………………………
(iii) ……..……………………………………………………………………………………………………
(iv) …….……………………………………………………………………………………………………
(v) ……..……………………………………………………………………………………………………
(vi) ……..…………………………………………………………………………………………………….
(use extra sheet if necessary)
C. OTHERS (including unpublished papers accepted for publication in refereed journals etc; evidence of
Acceptance to be provided)
(i) ……..……………………………………………………………………………………………………
(ii) …..………………………………………………………………………………………………………
(iii) …..………………………………………………………………………………………………………
(iv) …..………………………………………………………………………………………………………
(v) ………………………………………………………………………………………………………..…
(vi) …..……………………………………………………………………………………………………….
(use extra sheet if necessary)
NOTE: FOR SENIOR LECTURESHIP AND ABOVE TITLES TO BE ASSESSED MAY BE
INDICATED. TWO COPIES TO BE SENT WHEN REQUESTED. - A brief statement indicating areas of special academic interest and research projects the candidate proposes
to embark upon during the next few years. - Name and Address of three Referees (at least two should be people who have taught the
candidate or under whom the candidates has worked in the academic field. For Senior
Lectureship and above, referees may be persons with whom the candidate has worked).
(i) ………………………………………………………………………………………
………………………………………………………………………………..
(ii) ……………………………………………………………………………….
………………………………………………………………….
(iii)
………………………………………………………………………………………
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Candidates are advised to request referees to respond promptly to enquiries when made. - GENERAL
(i) Names of learned or professional associations of which the candidate is a member.
……………………………………………………………………………………
……………………………………………………………………………………
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(ii) Extra-curricula activities in which the candidate is interested.
……………………………………………………………………………………
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(iii) If engaged, how soon after notification of selection could the candidate
assume duty?
……………………………………………………………………………………………
- The space below may be used for any additional details you may wish to provide.
Signature of Applicant……………………………………… Date…………………………………
All appointment Forms will retain number 1
