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

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* 2. Last Name

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* 3. Email

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* 4. Phone

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* 5. Are you employed at UniMelb?

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* 6. Are you an academic staff member?

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* 7. Faculty

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* 8. School

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* 9. Are you employed in a continuing position?

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* 10. Is your role teaching- or education-focused?

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* 11. What was the start date of your contract?

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* 12. Is your fraction

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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.

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* 16. Are you an NTEU member?

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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.

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