Section 1 - Personal details
Title *	Mr Ms Mrs Miss Dr Prof Assoc Prof Other
First name *
Surname *
Gender *	Male Female
Company name
Current position *
ABN
ACN
Registered to collect GST *	Yes No
Work Phone *
Mobile *
Home Phone *
Fax
Email*
Preferred contact method	Phone Fax Email
Preferred contact time	Morning Afternoon Evening
Section 2 - Areas of expertise
a) Please nominate keywords which best explain your areas of expertise * Keywords are the means by which we search our database. Your keywords should describe your areas of expertise as accurately as possible.
b) Do you have previous consulting experience? * Yes No
c) Countries of work experience
Languages spoken
d) Date of Birth:	day month year
e) I hold a passport from:	and
f) You are interested in * select at least one option	Expert witness Consulting in Australia International development consulting
g) If expert witness has been selected:
Do you have previous experience with witness work? * Yes No
If Yes, please indicate whether your work has been mainly for plaintiffs defendants both
Have you had experience in court as an expert witness? Yes No
If Yes, in which courts?
Are you interested in expert witness training? Yes No
h) If international development consulting has been selected: These following position descriptions relate to general roles in development assistance projects.
Please indicate in what capacity you have worked:	Team Leader Team Member Trainer Project design specialist Monitoring and evaluation specialist Other
Section 3 - Referees Please indicate the names, positions and telephone numbers of 2 referees to be contacted by UNSW Global Consulting:  * If you have previous consulting experience please nominate at least one client as a referee. If you are an academic, please provide details of your head of school or other appropriate senior member of the university. Referees other than previous clients and employers must have known/worked with you for at least 12 months. 1. 2.
Section 4 - Rate Proposed rate(s) for consulting work (excl. GST): AUD$ /hour AUD$ /day AUD$ /month
Section 5 - Insurance We will discuss insurance coverage with you prior to any assignment you undertake.
Section 6 - CV Email your CV to consulting@unsw.edu.au
Register If you have any questions or wish to discuss your registration please contact John Arneil +61 2 9385 3175 or j.arneil@unsw.edu.au  I have read and agree with UNSW Global's Privacy Policy
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