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Melbourne CSHE
Professional Development
Teaching, Learning and Assessment
Certificate in Small-Group Teaching
CSGT Expression of Interest form
CSGT Expression of Interest form
Required fields are marked with an asterisk (
*
).
First name
*
Last name
*
University of Melbourne email address
*
Staff 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
Faculty
*
-- Please Select --
Architecture, Building and Planning
Arts
Business and Economics
Education
Engineering and IT
Fine Arts and Music
Law
Medicine, Dentistry and Health Sciences
Science
Other
School / Department / Organisational unit
Which of the following best describes your current teaching position?
*
-- Please Select --
Clinical tutor
Demonstrator
Lecturer
Tutor
Graduate researcher
Other (please specify below)
If your teaching position is not listed above, please specify:
Contract type
Please select which Cohort / study mode you prefer
*
Online (Cohort B)
Midyear Intensive
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.
Additional requirements
Acknowledgement
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.
*
Yes
If eligible, I agree to be enrolled in the Canvas subject.
*
Yes