MEMBERSHIP IN LEARNED SOCIETIES AND PROFESSIONAL ORGANIZATIONS Organization or Society Dates of Membership Office(s) held and Term(s) PUBLICATIONS Title Publisher or Journal Date REFERENCES (Letters of recommendation must be addressed to the head of the respective department, Nicholls State University) Name Address Title/Occupation Are you 17 years of age or older? Yes No Have you ever been convicted of a felony? Yes No (Conviction of a felony will not necessarily bar you from employment. We will consider the date, facts, and circumstances of each individual case.) If so, please explain: ________________________________________________________________________ _________________________________________________________________________________________
MEMBERSHIP IN LEARNED SOCIETIES AND PROFESSIONAL ORGANIZATIONS Organization or Society Dates of Membership Office(s) held and Term(s) PUBLICATIONS Title Publisher or Journal Date REFERENCES (Letters of recommendation must be addressed to the head of the respective department, Nicholls State University) Name Address Title/Occupation Are you 17 years of age or older? Yes No Have you ever been convicted of a felony? Yes No (Conviction of a felony will not necessarily bar you from employment. We will consider the date, facts, and circumstances of each individual case.) If so, please explain: ________________________________________________________________________ _________________________________________________________________________________________
Temp_Intermittent-application.docx