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 / School *

-- Please Select --Faculty of Architecture, Building and PlanningFaculty of ArtsFaculty of Business and EconomicsFaculty of Engineering and ITFaculty of Fine Arts and MusicFaculty of Medicine, Dentistry and Health SciencesFaculty of ScienceFaculty of Veterinary and Agricultural SciencesMelbourne Graduate School of EducationMelbourne Law SchoolOther

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

Previous teaching experience and teaching responsibilities at the University of Melbourne

How long have you been teaching at university level? *

-- Please Select --I have never taught at university levelLess than 1 yearMore than 1 year but less than 3 yearsBetween 3 years and 5 yearsMore than 5 years

If you have never taught at university level, please outline any other previous teaching experience.

Will you have teaching or subject coordination responsibilities in Semester 1, 2023?

YesNo

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

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. *

• Yes