CSGT EOI Form

Required fields are marked with an asterisk (*).

Contact details

Title

Name *

Surname *

University of Melbourne email address *

Staff OR Student username * This is the username you use to log into your UoM Account. Example: JSMITH

Staff OR Student ID Number This is the six-digit number on your staff or student ID card

Employment details

Faculty *

-- Please Select --Architecture, Building and PlanningArtsBusiness and EconomicsEducationEngineering and ITFine Arts and MusicLawMedicine, Dentistry and Health SciencesScienceOther

School / Department / Organisational unit

Are you a Graduate Researcher Academic Associate (GRAA)? *

• Yes
• No

Which of the following best describes your current teaching position? *

-- Please Select --Clinical tutorDemonstratorGraduate researcherLecturerTutorOther (please specify below)

If your teaching position is not listed above, please specify:

Please select which Cohort / study mode you prefer *

• Online Semester 2 2026

Have you previously attended any of the CSGT Seminars?

• Yes
• No

Please list all seminars and assignments you have previously completed, and which cohort you were enrolled in at the time of completion. You will need to provide this information if you are attempting to claim credit for prior attendance.

How did you find out about this program? *

• CSHE Webpage
• CSHE Newsletter
• CSHE Canvas community
• CSHE LinkedIn
• Staff News
• Colleague
• Other

If other, please specify:

Acknowledgements

Acknowledgements *

• I understand that submission of this form does not confirm my eligibility, and that, upon submission of this form, I will receive more information about my eligibility, the program and its requirements.
• If eligible, I agree to be enrolled in the Canvas subject.
• I understand that it is my responsibility to ensure that I have sufficient professional development time allocation remaining to complete this program and I will monitor my own progress and participation accordingly.