HR/PC/17/05RESTRICTED

ACADEMIC STAFF PROMOTION

HEAD OF DEPARTMENT CONFIDENTIAL REPORT

PLEASE COMPLETE THIS FORM ELECTRONICALLY

Name (Title, Forename, Surname)

Department

1.Assessment of Performance and Supporting Comments

Please provide comments and evidence under each heading.

(a)Research – please enter a of score 0 -4

Do not enter split scores e.g. 2/3. For a Readership case, you can enter a score of 3R. For a teaching-only case, pleaseenter a score of NA - where research has been undertaken, it can be evidenced and scored.

Research grant applicationssubmitted by the candidate (including value and date submitted):

Research grant income won by the candidate (including value and date won):

Valueconfirmed with the Research Support Office:

(b)Teaching – please enter score 0 -4

Do not enter split scores e.g. 2/3. For a research-only case, please enter a score of NA – where teaching has been undertaken, it can be evidenced and scored.

Please make reference to the candidate’s teaching load in comparison to other staff in the department and anyadjustments they have made to improve their teaching following student feedback.

(c)Academic Leadership and Engagement – please enter score 0 -4

Do not enter split scores e.g. 2/3.

2.Additional Information

(a)Please comment on the value and outputsfrom any sabbatical leave taken by the candidate (where appropriate)

(b)Please comment on any additional information that the candidate has included in Section 2 of their Personal Statement with respect to time out from, or impact upon, academic activities.
Where necessary, please refer to the Promotion Committee Guidelinessection on time out from, or impact upon, academic activities.

(c) Special cases

Please give reasons in support of special case as identified in the guidelines, e.g. unusual effective date, promotion to

higher point than bottom of new grade.

Form completed by (name of HoD)Date completed

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