MTC EOI Form

Required fields are marked with an asterisk (*).

Contact details

Title

Name *

Surname *

University of Melbourne email address * Personal email address will not be accepted

Staff username e.g. smithk (leave blank if unsure)

Employment details

Faculty *

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

School / Department / Organisational unit *

Current position *

-- Please Select --Subject coordinatorLecturerTutorDemonstratorClinical tutorOther

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

Employment status *

• Continuing
• Fixed term contract
• Sessional / Casual

Teaching responsibilities at the University of Melbourne

Have you previously completed the Certificate of Small Group Teaching? *

• Yes
• No

If you answered yes to the above question, what year did you complete the CSGT?

Will you have teaching or subject coordination responsibilities in Semester 2 2026?

-- Please Select --YesNo

Acknowledgement

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.
• I understand that, if enrolled in this program, completion requires 100% attendance at the live forums, completion of any online modules, and satisfactory completion of three assignments.