REPUBLIKA E SHQIPRIS REPUBLIC OF ALBANIA

UNIVERSITETI ALEKSANDR MOISIU DURRS ALEKSANDR MOISIU UNIVERSITY DURRS

Dega e Burimeve Njerzore Human Resources Department
Adresa: Lagjia Nr.1, Rr Currilave , Durrs Address: Lagjia Nr.1, Rr Currilave , Durrs
www.uamd.edu.al www.uamd.edu.al
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APPLICATION FORM FOR ACADEMIC STAFF

Formular Aplikimi pr Personel Akademik

Full time / Me koh t plot

Part time / Me koh t pjesshme

Specialty you aply for: _______________________________________________

Specialiteti pr t cilin Aplikoni :

PERSONAL DATA OF THE APPLICANT

T Dhna Personale t Aplikantit
Name, Fathers name & Surname
Emr, Emri i Babait & Mbiemr
Date of birth
Datlindja
Birthplace
Vendi i Lindjes
Nationality
Nnshtetsia
Address
Adresa e Vendbanimit
Phone Number
Nr. Telefonit
Mobile Phone
Celular
E-Mail
Posta Elektronike
EDUCATION
Arsimi I Lart
Institute name & Location Degree Received Years of attendance ( from-until ) Grade point average
Emri i Institutucionit & Vendndodhja Diploma e marr Vitet e Ndjekura ( nga deri) Nota mesatare e prgjthshme

POST-GRADUATE EDUCATION (Please list education starting with your highest degree)
Studimet Pas-Universitare MA, Dr., Prof. (Ju lutem rendisni kualifikimet tuaja duke filluar nga ai m i larte)
Institute name & Location Degree Received Years of attendance ( from-until ) Grade point average
Emri i Institucionit & Vendndodhja Diploma e marr Vitet e Ndjekura (nga deri) Nota mesatare e prgjthshme

PROFFESIONAL TRAINING
Trajnime Profesionale
Institution Title Location Duration
Institucioni Titulli Vendndodhja Kohezgjatja
FOREIGN LANGUAGES (Please tick X the appropriate level)
Gjuhe te huaja ( Ju lutemi shnoni me X nivelin perkats)
Language Beginner Average Advance
Gjuha Fillestar Mesatar I Perparuar

COMPUTER SKILLS (Please tick X the appropriate level)

Aftesi Kompjuterike ( Ju lutemi shnoni me X nivelin prkats)
Programs Beginner Average Advance
Programi Fillestar Mesatar I Prparuar

PROFESIONAL AND PEDAGOGICAL EXPERIENCE (Please list the experiences beginning with most recent one)
Eksperienca Profesionale dhe Pedagogjike (Ju lutemi rendisni 3 eksperiencat e puns duke filluar nga me e fundit)
1. Employment dates (From. To..)
Datat e punesimit ( Nga Deri)
Institution
Emri i Institucionit
Location
Vendndodhja
Position
Pozicioni
2. Employment dates (From. To..)
Datat e punesimit ( Nga Deri)
Institution
Emri i Institucionit
Location
Vendndodhja
Position
Pozicioni
3. Employment dates (From. To..)
Datat e punesimit ( Nga Deri)
Institution
Emri I Institucionit
Location
Vendndodhja
Position
Pozicioni
SCIENTIFIC - RESEARCH PLANES AND PUBLICATIONS ( Not more than 10 sentences ).
Planet krkimore shkencore dhe t publikimeve (Jo m shum se 10 fjali).
 TEACHING PHILOSOPHY ( Not more than 10 sentences ).
Filozofia e msimdhnies ( Jo m shum se 10 fjali ).

Please describe why you want to work for Aleksandr Moisiu University Durrs, and why do you think you are qualified for
the specialty you apply.
Ju lutemi prshkruani pse dshironi t punoni pr Universitetin Aleksandr Moisiu Durrs dhe pse mendoni se jeni i
kualifikuar pr specialitetin pr t cilin aplikoni.

REFERENCES
Referenca
Name Surname Profession Address Tel. Number
Ermer Mbiemer Profesioni Adresa Nr. Telefonit

1
2
3

As per above I declare that all datas in this Application Form are complete and correct, and am aware that any
falsification of the information, shall make me lose the right of employment in Aleksandr Moisiu University
Durrs.
Prsa m sipr deklaroj se t dhnat n kt Form Aplikimi jan t plota dhe t vrteta, dhe jam n dijeni se cdo falsifikimi i
informacionit m humb t drejtn pr tu punsuar n Universitetin Aleksandr Moisiu Durrs.

Date of Submission: Applicants Signature

Data e nnshkrimit: Firma e aplikantit

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