Oxford Learning Institute

University of Oxford


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Enhancing Teaching Programme(ETP) Application Form
Please completeall sections and provide as much information as possible to support us in assessing your application.
Please indicate which Programme you are applying for:
ETP Humanities and Social Sciences:
ETP Sciences:
Please indicate your preferred start date for the Programme:
Michaelmas Term: Hilary Term:
SECTION A: PERSONAL DETAILS
SURNAME:
FIRST NAME:
TITLE
(Dr., Mr, Mrs, Miss, Ms etc.):
GENDER:
SECTION B: CONTACT INFORMATION
EMAIL ADDRESS:
PHONE NUMBER:
CORRESPONDENCE ADDRESS:
SECTION C: STATUS AND TEACHING RESPONSIBILITIES
JOB TITLE:
Please provide your full job title (e.g. stipendiary/non-stipendiary lectureship; junior research fellow; college lectureship; departmental lectureship etc.)
END DATE OF CURRENT JOB CONTRACT:
COLLEGE (if applicable):
DEPARTMENT (if applicable):
DIVISION (please indicate): / HUMANITIES
MATHEMATICAL,PHYSICAL AND LIFE SCIENCES (MPLS)
MEDICAL SCIENCES
SOCIAL SCIENCES
SUBJECT/DISCIPLINE areas in which you teach and level (Undergraduate/ Postgraduate):
Please give us a brief overview of your teaching experience to date. This must include length of experience and relevant dates; higher education institutions you have taught at (UK and overseas); types of teaching (including examining & supervision):
Please state what teaching you will be doing during the two terms in which the Enhancing Teaching Programme will run.This should include details of
the amount of teaching (contact hours) and the type of teaching (tutorials; lectures; practical classes etc.)*:
Please provide details of any additional teaching responsibilities you may have (e.g. course design; examining, etc.):
*Note: to be eligible to attend the Programme youmust be engaged in some teaching at Oxford in the two terms during which the Programme runs. In some exceptional cases it may be possible to undertake the Programme if you only have teaching in the first of these two terms.
Please provide a short statement explaining your motivation for applying to the Programme (max 200 words):
Please indicate here any circumstances which we should take into consideration in the event that the Programme is over-subscribed for your preferred chosen start date:
Have you already completed an accredited teaching programme? (e.g. leading to Associate Fellowshipof the higher education academy (AFHEA); Fellow of the HEA (FHEA); PGCE etc.)
Please provide full details, including qualification name(s); institution(s) and relevant date(s) of award(s) / YES/NO (delete as applicable)
How did you hear about the Enhancing Teaching Programme?
If you have a disability or health condition that may affect your learning, please let us know by ticking the box here and we will get in touch with you to discuss how we can help you get the most out of the programme.
  • I confirm that the information provided in this application is, to the best of my knowledge, complete and accurate.
  • I confirm I will be able to attend all seminars/workshops for the Enhancing TeachingProgramme.

Signed:

Date:

Applications for the Humanities and Social Sciences Programme should be emailed to:

Applications for the Sciences Programme should be emailed to:

Alternatively, you may send your application by post to:

The Oxford Learning Institute,

Littlegate House,

16/17 St Ebbe’s Street,

Oxford

OX1 1PT.

Statistical Supplement: Disability Full Name of Applicant: ______
The University is committed to making reasonable adjustments to enable students with disabilities including dyslexia, dyspraxia, students on the Autistic Spectrum or with long-term health conditions to participate fully in student life. In order to provide study support, relevant departments and colleges of the University may need to share information about your needs. Information will be shared on a need-to-know basis with relevant people such as the lecturers and tutors who will teach you, and any library and support staff. The information provided is also used to monitor rates of participation in Higher Education by particular groups of people, which is a statutory requirement; it does not form part of any assessment of your application. If you wish to discuss this section of the application form, or anything to do with University provision for such needs, please contact the Disability Advisory Service or refer to their website .
Please enter the code most appropriate to you:
00 I am not disabled
01I have a disability and am in receipt of a UK Student Disability Allowance
02I have a disability and am NOT in receipt of a UK Student Disability Allowance
If you have indicated that you have a disability, please enter the code in the box from the list of statements below which is most appropriate to you:
51You have a specific learning difficulty such as dyslexia, dyspraxia or AD(H)D
58You are blind or partially sighted
57You are deaf or have a hearing impairment
56You are a wheelchair user or have mobility difficulties
55You have mental health difficulties
08You have two or more impairments or disabling medical conditions
53You have a social/communication impairment such as Asperger’s
54You have a long standing illness or health condition such as cancer
96You have a disability, impairment or medical condition not listed above
Statistical Supplement: Ethnicity Full Name of Applicant: ______
Please provide the number most appropriate to you:______
10 White
15Gipsy/Traveller
21 Black or Black British – Caribbean
22 Black or Black British – African
29 Other Black background
31 Asian or Asian British – Indian
32 Asian or Asian British – Pakistani
33 Asian or Asian British – Bangladeshi
34 Chinese or other ethnic background – Chinese / 39 Other Asian background
41 Mixed – White and Black Caribbean
42 Mixed – White and Black African
43 Mixed – White and Asian
49Other Mixed background
50 Arab
80 Other ethnic background
90 Not known
98You do not wish to provide this information

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