Tutor Registration
Form
ITAS- 2015
Aboriginal and Torres Strait Islander Studies Unit - ITAS
PLEASE ALSO PROVIDE: A COPY OF YOUR CURRENT CV, ACADEMIC TRANSCIPT (OR STUDIES REPORT), ID (BIRTH
CERTIFICATE OR PASSPORT DETAILS PAGE – & VISA DETAILS IF APPLICABLE) WITH THIS COMPLETED FORM
Important Information:
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Completion and submission of this ITAS Tutor Registration form does not guarantee
employment as a casual ITAS tutor.
The ITAS program is based on the demands of students’ tutorial requirements – which will
change from semester to semester. Neither the ITAS program nor the Aboriginal and Torres
Strait Islander Studies Unit can guarantee any or continuing casual ITAS tutor employment
from semester to semester.
The ITAS Coordinator will be in contact with you when an Indigenous UQ student has applied
for ITAS tutorial assistance for a course or courses that matches your area(s) of expertise.
Tutors cannot be members of the immediate or de facto family of their allocated student(s).
Tutors cannot be their allocated student’s Course Coordinator, Lecturer or course tutor.
Tutor Name
Student Number (if applicable)
Gender
DOB
Have you previously been employed as a
Casual ITAS Tutor with UQ?
Are you currently employed at UQ?
Yes (UQ Staff No: ____________________)
No
Yes
No
Contact Phone Number
E-Mail
Do you hold a Work for Children Check (Blue
Card) card?
Yes (please provide a copy of your card with application)
No (Please apply for a Blue Card at
http://www.bluecard.qld.gov.au/applications/applications.html
and provide the completed form to the ITAS Coordinator to send
to the Commission.
Why do you wish to tutor Aboriginal and Torres Strait Islander students?
Please provide brief explanation…
Department of Industry, Innovation, Science,
Research and Industry required information.
Are you:
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Other
Qualifications – What is your highest Academic qualification?
PHD
Current Tertiary student (specify year)
Master’s degree
Vocational Educational Training Certificate
Undergraduate degree
Other
Formal Qualifications (please provide details of all your academic qualification)
Academic/Professional Qualifications
GPA
Tertiary Education Institution
List the specific UQ courses in which you are able to provide tutorial assistance OR
e.g. ABTS1000
List the Programs, if applicable, in which you are able to provide tutorial assistance:
e.g. History, Civil Engineering
Please list days/times/hours per week you are available to provide tutorial assistance?
Have you had previous experience as a tutor with
Aboriginal and/or Torres Strait Islander students?
Yes (please give details below)
Have you ever attended a Cultural Awareness
Workshop?
Yes
Have you ever attended a Tutor Training Workshop?
Yes
No
No
No
Can you be located on campus on a daily basis?
Yes (please give detail, i.e. School)
No (please give details of when you are on-campus)
Please give detail of availability (i.e. number of hours a week, days available to tutor, etc.)
Are you willing to provide GROUP tuition?
Yes
No
Please supply the name and contact details of two academic or other relevant referees:
Name
Location/School
Phone/Email
I hereby state that the information I have supplied is true and correct.
Applicant Name (please print)
Applicant Signature
Date
Please return this form completed and with the additional requested information to:
ITAS Officer
The Aboriginal and Torres Strait Islander Studies Unit
The University of Queensland
Email: itas@uq.edu.au
Web: www.uq.edu.au/atsis