Complete this form to join NTEU’s collective application to get your minimum allocation for research, academic disciplinary currency and/or professional practice.

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1. First Name (Required.)

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2. Last Name (Required.)

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3. Email (Required.)

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4. Phone (Required.)

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5. Are you employed at UniMelb? (Required.)

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6. Are you an academic staff member? (Required.)

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7. Faculty (Required.)

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8. School (Required.)

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9. Are you employed in a continuing position? (Required.)

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10. Is your role teaching- or education-focused? (Required.)

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11. What was the start date of your contract? (Required.)

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12. Is your fraction (Required.)

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13. If you are 0.8 FTE or above, do you believe at least 20 per cent of your workload has been allocated for research, academic disciplinary currency and/or professional practice?

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14. If you are below 0.8 FTE, do you believe at least 10 per cent of your workload has been allocated for research, academic disciplinary currency and/or professional practice?

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15. What is your current allocation for research, academic disciplinary currency and/or professional practice? Please provide as a percentage, for example 10 per cent. (Required.)

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16. Are you an NTEU member? (Required.)

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17. Do you consent to the NTEU including your name and employment details in collective workload review application/s lodged with the University? Note that this may require you to provide further information and evidence on request. (Required.)

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