Course Name Confidential

How many tutorials/workshops per week

Tutor Training

Employment Declaration 2012 Tutors, School of Information Management (SIM)

This information is collected for the purpose of assessing your suitability for employment at Victoria University. If selected this information will be kept on file. It may be accessed and corrected by the employee. If your application is unsuccessful you may request the return of your application. Otherwise it will be held on file for 12 months and then destroyed. The enclosed Role Description outlines the key result areas for this position, key competencies and education and experience required.

Please complete this Employment Declaration and return it with your letter of application and Curriculum Vitae to support your application. A copy of your CV is not require if have previously tutored in SIM. Your application should include names and contact details of at least two referees. All this information must be provided and all questions answered for your application to be considered.
Title Given Name Family Name

NAME
(block letters)

ADDRESS PHONE: STUDENT ID NO: EMAIL: Hired by VUW before: Yes/No (delete one doesnt apply) COURSE AVAILABILITY Which course(s) are you interested in tutoring for: Please indicate your availability for tutoring: _____________ hours per week

TUTORING EXPERIENCE

Do you have tutoring experience?

YES/NO

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If YES, was it with the School of Information Management? If YES, please state which course(s) and which year(s) If YES, have you completed the SIM UTDC tutor training course If YES, was it for another School at VUW? If YES, please give details If YES, was it for another institution? If YES, please give details NO
ACADEMIC RECORD

YES/NO

Please indicate your consent for the School to access your VUW academic record by checking the box. If you have studied at another institution please attach an academic transcript.

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REFEREES

Please tick the box to indicate your consent for the School to contact your referees. Details should be included with your application. Please note that referee reports will be treated as confidential evaluative material. CRIMINAL CONVICTIONS Have you been convicted of a criminal offence in the last ten years? If YES, please provide brief details.

YES/NO

Are you awaiting the hearing of charges in a court? If YES, please provide brief details.

YES/NO

CITIZENSHIP Are you a New Zealand Citizen? If not, do you have the appropriate work permit(s) to legally work at VUW in New Zealand?

YES/NO YES/NO

MEDICAL Have you ever had an injury or medical condition, including those caused by gradual process, disease or infection that may be aggravated or further contributed to by the tasks of the position applied for?

YES/NO
If YES, please provide details and describe any technical aids, equipment or adaptations to the workplace which you would need to make your work easier and/or increase your performance.
Note: This information is relevant to any efforts the University may take to accommodate your conditions and ensure that the workplace is safe and healthy.

DECLARATION The information provided on this will be kept secure. In signing this declaration, you endorse that all information provided by you is true and correct in all respects, and you understand that if any false information is given or material suppressed, you may not be accepted or, if employed, you may be dismissed. Signature:____________________________ Date:______________________ Note: If you email me the form then you can just type your full name instead of signing this document. Victoria University of Wellington is an EEO employer and actively seeks to meet its obligations under the Treaty of Waitangi.

Notice: You need to go http://www.facebook.com/SIMTUTORS and like for any update re your application. If you dont you might be missing out critical updates re your application.
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The course you are applying for:

Tutor Availability (please mark slots when you are available for tutoring)

Kelburn Campus 9am -10am 10am-11am 11am-12pm

Monday

Tuesday

Weds

Thursday

Friday

Pipitea Campus 9:30am -10:am 10am-11am 11am-12pm

12pm-1pm

12pm-1pm

1pm-2pm

1pm-2pm

2pm-3pm

2pm-3pm

3-pm-4pm 4pm-5pm

3-pm-4pm 4pm-5pm

5pm-6pm

5pm-6pm

Shortlisted for 1st

Shortlisted for 2nd

Final offer made

Contract done

AMS entered

Contract returned

Contract sent to HRMIS

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