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Melbourne CSHE
Programs
Academic Orientation and Career Development
The Melbourne Academy
Melbourne Academy Expression of Interest form
Melbourne Academy Expression of Interest form
Required fields are marked with an asterisk (
*
).
Contact details
Given name
*
Family name
*
Email address
*
Staff username
This will allow us to add you to the Canvas community page if accepted.
Staff ID Number
Found on your staff ID card and usually contains 6 digits
Employment details
Faculty
Architecture, Building and Planning
Arts
Business and Economics
Education
Engineering and Information Technology
Fine Arts and Music
Law
Medicine, Dentistry and Health Sciences
Science
Other
School, Department, Organisational Unit
E.g. Melbourne Dental School, Department of Accounting
In what year did you complete your PhD?
*
Which of the following best describes your current position?
*
-- Please Select --
Education and research
Research focussed
Education focussed
Academic specialist
Contract type
*
-- Please Select --
Full-time fixed-term
Part-time fixed-term
Casual
Continuing
How long have you been employed at The University of Melbourne?
*
-- Please Select --
Less than 1 year
More than 1 year but less than 3 years
Between 3 years and 5 years
More than 5 years
Please use the space below to add any other details or contextual information about your role or responsibilities at the University.
Acknowledgement
I understand that this form is an expression of interest only, and that my eligibility for this course will be assessed based on my responses above.
*
Yes
I understand that, if enrolled in this program, successful completion requires 80% attendance and satisfactory completion of all assignments.
*
Yes