ࡱ> sur xbjbj~~ I}lklkB ff__T\\1.tS^ -------0[3-Q " -__"-""" F_8-" -""V)@V*{m4;!) -.01.)x4!v4V*V*&4|* " --9"v 1. 4 f %:  APPLICATION FOR A CONTRACT TEACHING POSITION YORK UNIVERSITY UNIT 2 (If you are not registered as a full-time graduate student at 91ɫ) NAME________________________________________ TELEPHONE_______________________ surname given name ADDRESS_____________________________________ POSTAL CODE_____________________ street city EMAIL ADDRESS_______________________________________ SOCIAL INSURANCE NUMBER___________________ DATE OF APPLICATION___________ TYPE OF APPLICATION : Blanket  FORMCHECKBOX  Specific  FORMCHECKBOX  In addition, I have Continuing Sessional Standing status and wish to participate in the program  FORMCHECKBOX  Faculty________________________________ Department/Division__________________________ Note that a blanket application, to be considered, must be submitted between November 15 and January 31 (or by the next business day if January 31 falls on a week-end) and shall apply to all positions in the hiring unit for academic sessions that commence during the twelve months following January 31. Any application after January 31 is specific to the position or positions listed below. Applications must be accompanied by a curriculum vitae unless the department/division to which you are applying has a current c.v. on file. Blanket applications for members in the CSS program must be received by November 1 (or by the next business day if November 1 falls on a week-end). If you have any questions about how to fill in this application, please call the CUPE 3903 office at 416-736-5154. COURSES/POSITIONS REQUESTED: 1.___________________________________________ (Even if this is a blanket application, please specify the position(s), course # and title, 2.___________________________________________ and academic session in which you are most interested.) 3.___________________________________________ PRIOR EXPERIENCE IN TEACHING, DEMONSTRATING, TUTORING, MARKING AT YORK Calculations of applicable prior experience (Articles 12.06 - 12.08 of the collective agreement) can be made only on the basis of information supplied in this application. Note: Not all experience may be applicable to any particular position for which you are considered. See page 4 for further explanation. SUMMARY: Please transfer figures from detained calculations, pages 2 -3. (See page 4 for further explanation.) Number of years of experience:_____________________________________________ _____ Total number of years in each of which the applicant has accrued applicable prior experience of at least one Type 1 position or equivalent. _____ Total Type 1 positions (from pages 2-3). _____ Total Type 2 positions (from pages 2-3). _____ Total Type 3 positions (form pages 2-3). NOTE: If you are a member of one of the four designated Employment Equity Groups (women; members of visual/racial minorities; aboriginal peoples; persons with disabilities) and wish to self identify, please see the last page of this document) PRIOR EXPERIENCE: Position Title Position Type Faculty Course (see page 4) (Dept., Number, full/half, Title) EXAMPLE: TUTOR 1 Type 2 Atkinson SOSC 1700.06 Women in Canada EXAMPLE: C.D. Type 1 Arts SOCI 4350.03 International Migration _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ SESSION APPOINTMENT NO. OF ASSIGNMENTS/ EXPERIENCE STATUS GROUPS TAUGHT COUNT (CUPE 3903 Or Other - Specify) (See page 4) S 1984 Unit 1 2 2 Type 2 A/W 1985-86 Unit 2 1 1 Type 1 _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ _________________ ______________ _________________ ________________________ TOTALS: Type 1____________Type 2____________Type 3____________ (Please transfer to page 1) In completing pages 2 and 3, please list your experience at 91ɫ, including all positions held at the time of application, by Type, proceeding from type 1 to type 3 (Article 10.04.1) and from oldest to most recent. Indicate fractional appointments. You may include all experience gained in CUPE 3903, whether in Unit 1 or 2. In addition, you may count certain other teaching/tutoring experience at 91ɫ held outside of CUPE 3903, as stipulated in Article 12.07 of the collective agreement. Your should include any experience accrued as a result of grievance, service on the CUPE 3903 Local or National Executive, in connection with leaves, as a result of Major Research and Teaching Development Grants. If necessary, use additional pages to list all experience. Calculate the total for each Type of experience and transfer the total(s) to page 1. Your applicable prior experience count is calculated as follows: Position Type times # of assignments, adjusted of course (full/half) and fractional. For example, two months of a course director position in a full course in A/W = .25 type 1; a full course director position in the summer=1 type 1; 2 tutor 1 positions = 2 type 2. The total, then, would be 1.25 type 1s and 2 type 2s. Article 12.06 explains equivalencies among types of experience, which will assist you in determining the number of years in which you held at least one type 1 or equivalent positions for the calculation page 1. POSITIONS BY TYPE Type 1: Type 2: Type 3: -Course Director -Tutor 1 (Tutorial Leader -Tutor 3 (Marker/Grader) -Team Lecturer -Tutor 2 (Demonstrator -Tutor 4 (Individual Tutor) -Writing Instructor 3 lab hours/week) - Computer Centre Advisor -Tutor 6 (Studio Instructor - Coach (Fine Arts) - Instructor (Faculty of Education) - Music Tutor If you have any questions about how to fill this application, please call the CUPE 3903 office at 416/736-5154. EDUCATION: Degree & Discipline University Date Completed (Begin with most recent) 1.____________________________________________________________________________ 2.____________________________________________________________________________ 3._____________________________________________________________________________ TITLES of PhD DISSERTATION and/or MASTERS THESIS: ______________________________________________________________________________ ______________________________________________________________________________ CURRENT RESEARCH: ______________________________________________________________________________ ______________________________________________________________________________ PUBLICATIONS: Give authors, titles and journal references. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ PREVIOUS RELEVANT EXPERIENCE (Outside 91ɫ): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ REFERENCE (Only Required if No Previous Teaching Experience at 91ɫ): ______________________________________________________________________________ ______________________________________________________________________________ Please attach any additional information. ______________________________________________________________________________ Article 12.03.2, Article 23.04.2 (Conversion Appointments) and Article 24.07 *(Long Service Teaching Appointments) in the Unit 2 Collective Agreement contain provisions that have potential impact on members of 91ɫs five employment equity groups. If you wish to be considered pursuant to one of these provisions, please self-identify by checking one or more of the categories listed below. ______________________________________________________________________________________ CUPE 3903 Employment Equity Self-Identification Form Confidential when completed. Self-Identification Survey results will be shared only on a need-to-know basis for the purposes outlined below. "Count yourself in!" The information collected may be used, pursuant to the relevant provisions of the collective agreement, to inform certain appointment decisions and support the assessment of whether equity requirements are being met. We need everyone, including those who do not identify as members of an equity group, to complete the Employment Equity Self-Identification Survey. In addition, the information collected will be used on an aggregated basis for reporting purposes. Your information will also help us to prevent or address systemic barriers to access and opportunity, set, promote and measure equity, diversity and inclusion goals, and improve the work experience for all of 91ɫ's employees. It is important to capture your identity to build awareness and ensure resources are made available to all employees including members of equity-seeking groups. You are encouraged to complete your Self-Identification Survey each time you submit an application. You may self-identify under more than one of the designated groups. If you choose not to complete the survey, please let us know by checking the box in Question "7" before submitting the form. If you choose not to complete the survey, you have the option to provide feedback as to why. If you identify as a person with a disability, please contact the Employee Well-Being office (HYPERLINK "mailto:ewb@yorku.ca"ewb@yorku.ca) if you need any workplace accommodation. You may also contact the CUPE 3903 Staff Representative Equity (HYPERLINK "mailto:equity@cupe3903.org"equity@cupe3903.org). Please see HYPERLINK "/vpepc/employment-equity/"/vpepc/employment-equity/ for more information on Employment Equity at 91ɫ. Do you identify as an Indigenous person? % Yes % No Do you identify as a racialized person (visible minority)? % Yes % No Do you identify as a person with a disability? % Yes % No Do you identify as a woman (regardless of whether you are cisgender/assigned female at birth or trans)? % Yes % No Do you identify with one or more of the categories included in 2SLGBTQIA+ (Two Spirit, Lesbian, Gay, Bisexual, Trans, Queer, Intersex, Asexual)? % Yes % No Contact / Focus Groups In our work to increase the inclusivity of the work environment, whereby every employee feels valued, respected and supported, we often seek input from 91ɫ employees on initiatives specifically aimed at reducing potential bias and/or barriers in the employment/student life cycle. Please let us know if you would like to get involved in equity, diversity & inclusion initiatives at 91ɫ and would like to be contacted by the 91ɫ Program Manager, Equity, Diversity and Inclusion. 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