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Melbourne CSHE
Professional Development
Teaching, Learning and Assessment
Melbourne Teaching Certificate
MTC EOI Form
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 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
*
Current position
*
-- Please Select --
Subject coordinator
Lecturer
Tutor
Demonstrator
Clinical tutor
Other
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
Have you previously completed the Certificate of Small Group Teaching?
Yes
No
How long have you been teaching at university level?
*
-- Please Select --
I have never taught at university level
Less than 1 year
More than 1 year but less than 3 years
Between 3 years and 5 years
More 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, 2024?
Yes
No
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