/ The Faculty of Arts
Teaching Awards
2010

Application Form

Tick () one box: / Individual application / Team application
Contact details (for nominee, or one representative of a team)
Title
First name
Last name
Email address
Telephone
Faculty
Department
Position title
Category (tick one box) /
Academic staff /
General staff /
Student group
Gender (tick one box) /
Female /
Male

Citation wording

In no more than twenty-five words, describe the distinctive contribution of the applicant(s). For example, "For specialist expertise in the design and implementation of practical classes leading to enhanced student engagement."

Selection Criteria

Please nominate ONE or (at most) two selection criteria for assessment, as appropriate to your particular contribution:

Tick box
(√) / Note: The number of criteria nominated does not, in itself, affect assessment of the nomination.
1. Approaches to the support of learning and teaching that influence, motivate and inspire students to learn
2. Development of curricula, resources and services that reflect a command of the field
3. Approaches to assessment, feedback and learning support that foster independent learning
4. Respect and support for the development of students as individuals
5. Scholarly activities and service innovations that have influenced and enhanced learning and teaching
For team applications:
In a team with five or fewer members in total, please list names of up to four further team members below
Title / First and last name / Gender (F/M)* / Category (A/G/S)*

* Use one of the following, as appropriate:F = FemaleA = Academic Staff

M = MaleG = General Staff

S = Student Group

Or

Team may be any size, but if more than five members a team name must be used

Team name

And

List numbers of team members, including all team members previously mentioned

Female / Male / Total
Academic Staff
General Staff
Students
Nominee’s Declaration
I/We (print name of nominee or team rep.) ………………..………………………………………………………………………………………..………………………………………………………………………
Accept nomination for a Faculty of Arts Teaching Award and agree that this application may be added to the Faculty’s Best Practice database, and that it is a potential nomination for a Vice Chancellor’s Teaching Award.
Signature: /
Date:
Head of Department’s Support for Application and Authorisation
I support this application on the basis of the attached information. I confirm that the contact details provided are correct and that the nominee(s) referred to on this form is/are currently member(s) of this Department.
Name
Signature
Faculty / Date:

Checklist

The application submitted must include the following and be emailed or delivered to W6A137 / tick
box
()
Completed and signed Nomination Form (signed)
Written statement, including the proposed wording of the Citation and addressing ONE or (at most) two selection criteria (three A4 pages)
1 Referees’ Report, one A4 page each, in support of the application (on letterhead and signed)
Optional Supporting materials (2 A4 pages only)