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Application Form

To apply for a course either download the application form and forward it to the Staff Development Unit or fill in the following on-line form and submit.

On-line Application Form

Note: Please ensure that you have read and understood the course outline and completed the required course prerequisites as detailed on the workshop page. Please contact Staff Development if you have questions about the course you have registered to attend.

*All fields to be completed

Title:
Family Name:
First Name:
Staff Id No:
Gender :	Male Female
Academic Staff : Level
General Staff : Hew Level
Position:
Department:
Faculty/Division:
Phone:
MBL Phone:
Fax:
Email:
Campus/Site:
	*For non Monash* applicants only:**
Work address:
Email:
Fax:
	Program Details:
WorkshopTitle:
Date(s):
Is this an identified training/ development need from your performance and development plan?	Yes No
Have you completed any course prerequisites?	Yes No
What previous training or experience have you had in relation to this area?
Please check the Cancellation policy for all Staff Development and OH&S courses
Payment Options:
Payment Option 1.	Please provide cost centre & fund
	Account Code	Cost Centre	Fund
	734061
Payment Option 2.	Cheque Cheque made out to Monash University and forwarded to Staff Development Unit
Payment Option 3.	Invoice Debtors invoice (For departments not on SAP)
I have my supervisor's approval to attend this program

The Information collected on this form is collected for the primary purpose of processing your application to attend a Monash University training course or event. Other purposes of collection include communicating with you, program administration, reporting and de-indentified statistical analyses. The information may also be disclosed to a third party training provider (if relevant) for course delivery purposes. If you choose not to provide all the information requested on this form, it may not be possible for you to fulfil (or meet) your training requirements. You have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal information or inquire abut the handling of your personal information, please contact the University Privacy Officer on 9905 6011.

Application Form

On-line Application Form

Title:

Family Name:

First Name:

Staff Id No:

Gender :

Academic Staff :
Level

General Staff :
Hew Level

Position:

Department:

Faculty/Division:

Phone:

MBL Phone:

Fax:

Email:

Campus/Site:

Work address:

Email:

Fax:

WorkshopTitle:

Date(s):

Application Form

On-line Application Form

Title:

Family Name:

First Name:

Staff Id No:

Gender :

Academic Staff : Level

General Staff : Hew Level

Position:

Department:

Faculty/Division:

Phone:

MBL Phone:

Fax:

Email:

Campus/Site:

Work address:

Email:

Fax:

WorkshopTitle:

Date(s):

Academic Staff :
Level

General Staff :
Hew Level