Faculty Misconduct Authorization and Disclosure Form

What Ohio State does matters. And how we do it matters. When we are at our best, we make a real difference to people. Our size, breadth, geography, history and standard of excellence position us to drive the future of higher education. We accept as our operational standard that the university should be a place where people can work and learn together in a safe environment, free of violence, harassment, discrimination, exploitation or intimidation.

Following models at other universities, Ohio State requests all candidates for tenured positions to disclose any findings of misconduct against them or ongoing investigations or disciplinary proceedings and to provide written authorization giving Ohio State permission to seek certain information from current and past employers.

All individuals submitting an application for a tenured position (tenured associate professor or tenured professor) must complete the Faculty Misconduct Authorization and Disclosure Form as part of their application process.

The authorization and disclosure form requires candidates to disclose any past findings of misconduct as well as current disciplinary proceedings and any ongoing investigations against them, and further to execute an authorization permitting the applicant’s current and former employer(s) to share information with Ohio State about final findings of employment-related misconduct or current disciplinary proceedings against the applicant and/or any ongoing investigations related to misconduct.

Any candidate who fails to fully complete the disclosure and authorization form or otherwise fails to cooperate with this process will not be eligible for the position.

If nothing is disclosed related to any past findings of misconduct or ongoing disciplinary proceedings or investigations, no action will be taken.

If there is disclosure of any findings, disciplinary proceedings or ongoing investigations, the Office of Academic Affairs (OAA) will review the information provided and may further contact the candidate’s current and past employers to gather additional information as needed in accordance with the authorization.

OAA will convene a meeting with the unit head (e.g., department chair, school director), dean, the Office of Legal Affairs and the Office of Faculty Affairs to discuss the information provided and determine next steps.

Should information arise following hire that a candidate failed to meet this duty, that individual will be subject to immediate disciplinary action, which may include discipline up to and including termination of employment.

Applicant Full Name:*

Applicant Email Address:*

Title of Faculty Position Applying For: *

Workday Requisition Number:*

Can be found at the top of the position description beginning with R

Findings of Misconduct:*

Select

Description:

Please provide a brief description of each such matter below (Max 800 characters)

Authorization

To assist the university with its search efforts and as described above, I agree that the university may seek information from my current and/or previous employer(s):

Authorization Timing*

Select or enter value

Submission Date:*

File Upload:

Please upload supporting materials if applicable

Drag and drop files here or

DocuSign Signature Requirement

You will receive a PDF DocuSign (via your email address provided) that requires your signature upon submission of this form prior to moving forward with the process.

Questions:

Please contact the Office of Faculty Affairs with any questions related to completing this form at facultyaffairs@osu.edu.

Terms

This disclosure and authorization form is valid for 365 days from the date of submission. A signed copy of this form may be photocopied, scanned or reproduced as a facsimile or PDF, and these copies will be as effective as a release or consent as the original which I sign.

Send me a copy of my responses

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