Expression of Interest form

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Teaching Affiliate – Expression of Interest Form
Version 1.5
Last amended: 12/08/2015
Faculty of Arts
Teaching Affiliate - Expression of Interest
Form
Please return your completed Expression of Interest form to either the Teaching Affiliate
Co-ordinator (English) or the Head of Department (CLAS and Humanities) in which you
wish to teach. Contact information can be found on the Faculty of Arts webpages.
Please also attach your CV.
If you are not a student at the University and have a unique taxpayer reference number
you may be eligible to be engaged as ‘self-employed’. If you think you may fall into this
category please indicate this here
and someone will be in contact with you after the
interview process to discuss this further with you.
PLEASE WRITE IN BLOCK CAPITALS.
Postgraduate student at The University of Nottingham: YES / NO
School:
Department (if applicable):
Personal details
Title: Mr / Mrs / Miss / Ms / Other (please specify):
First name:
Surname:
Date of Birth (DD/MM/YYYY):
Full correspondence address (with postcode):
Contact telephone number:
University of Nottingham email address (if applicable):
Personal email address:
Are you self-employed? YES/NO
If yes, please provide your 10 digit Unique tax reference code:
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Teaching Affiliate – Expression of Interest Form
Version 1.5
Last amended: 12/08/2015
Teaching
Personal statement (please tell us what motivates you to want to teach and list any
teaching experience at any level and any relevant professional development courses
attended):
Modules (please list the modules in the School/Dept on which you would be able to
teach):
Academic Prizes and achievements (please write a brief outline of any academic prizes
awarded, personal achievements etc. to date):
Applicant’s signature:
Date:
Supervisor’s permission
If you are currently a postgraduate student you are required to seek permission from
your supervisor in order to express interest in becoming a Teaching Affiliate.
“I confirm that the student has spoken to me about teaching on a casual basis in the
Faculty of Arts and I support their expression of interest.”
Lead Supervisor’s Signature:
Name:
Date:
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