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Application Form

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

On-line Application Form

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

*All fields to be completed

Title:
Name:	First Name		Family Name
Staff Id No:
Department:			Faculty/Division:
Contact:	Phone/Extension		Mobile
Email:
Campus/Site:	Clayton Caulfield Peninsula Gippsland Berwick Parkville Other
	*For non Monash* applicants only:**
Work address:
Email:
Program Details: Please enter the workshop name in full and the date you wish to attend.
Workshop Title: Date/Time:
Is this an identified training and development need ?
Yes No
Have you completed the workshop prerequisites?
Yes No
Do you require any individual accommodations for the workshop? (e.g. Wheelchair access)
Yes No
If you replied Yes, could you please provide some additional information.
Please check here for Important Information for all Staff Development and OH&S workshops
Payment Options:
Payment Option 1.	Please provide cost centre & fund code
	Account Code	Cost Centre		Fund
	734061
Payment Option 2.	Invoice To be used for: - Debtors invoice (For departments not on SAP) or - other payment methods ( please enter the postal address for receipt of invoice) Postal Address:
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. Attendance at this course will be recorded within SAP and together with information previously recorded in SAP may be used as a way of 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 9902 9589