As part of our evaluative process for academic roles, Cornell University asks candidates to disclose relevant information about their prior employment including whether they have been found to have violated institutional or employer policies related to or governing unlawful discrimination and harassment, academic and research misconduct, or financial misconduct.

We will not be able to advance your candidacy until we receive the completed form.

Position Title applied for
Requisition # applied for

Have you been found to have violated any institutional or employer policies governing unlawful discrimination and harassment, academic and research misconduct, or financial misconduct at your current or prior academic institution?
No
Yes

Are you currently under investigation for, or do you have any pending charges related to, a potential violation of any institutional or employer policies governing unlawful discrimination and harassment, academic and research misconduct, financial misconduct, at your current or prior academic institution?
No
Yes

By submitting this form, I acknowledge that providing incomplete or inaccurate information on this form may make me ineligible for appointment at Cornell. I also give Cornell permission to seek information about the above matters and other employment related inquiries from my current and prior employers.

Name
Email
Date
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