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Personal details
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| Title: (Dr, Ms etc): |
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Given Names: |
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| Family Name: |
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Extension No: |
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| UOW Email Address: |
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Home Phone: |
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Appointment details |
| Position: |
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| Department: |
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| Faculty: |
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| Location |
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| Date of entry on duty at UoW |
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Staff Number |
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| Status (continuing, contract, casual) |
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Education and experience |
| Academic Qualifications: |
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| University teaching experience: |
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| Other teaching experience: |
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Enrolment details |
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Are you enrolling for ULT Course as a condition of your appointment?
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| If NO, please indicate your reason(s) for registering: |
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Are you registering for:
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Prior Experience with teaching technologies:
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Please indicate how you have used a learning management system (eg Vista) in your teaching
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Prior UOW tutoring workshops attended:
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