VICE-CHANCELLOR’S AWARDS FOR EXCELLENT CONTRIBUTIONS: STAFF ‘LEARNING’ AWARDS

2015 Deakin University Award for Teaching ExcellenceApplication Form

APPLICATION ID: 15 (To be completed by the Teaching Awards and Grants team)

LEARNING AWARD GUIDELINESGuidelines are available on the Teaching and learning awards webpage to provide applicants with important information on selection criteria, eligibility criteria and how to prepare a submission. Please read the guidelines thoroughly.

SUBMISSION OF APPLICATIONThe application form and all supporting documentation should be submitted in one PDF document, via email to learningresearch@deakin.edu.au

Applications must be received by COB, 5 pm, Wednesday 12 August 2015. Late applications will not be accepted.

SECTION 1: APPLICANTS (Team applications please include all team members here. Click on ‘Select…’ to choose from drop-down box. If required, please add extra rows.)

Title and Name Area Faculty Position

Select... Select... Select...Select... Select... Select...Select... Select... Select...Select... Select... Select...

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SECTION 2: APPLICANT INFORMATIONIndividual applicants please complete this section, to a maximum of one page (any pages in excess of one will be removed prior to submission).

Team applications: please select a lead contact, include an overview of the team qualifications and experience to a maximum of two pages, regardless of team size.

To a maximum of two pages.

Title (Dr/Ms etc): Staff ID Number:

Name:

Email: Phone:

Please provide an application descriptor (maximum 25 words), describing the distinctive contribution of the application:

Please provide a summary and context of the contribution (maximum 100 words, to be used for internal publicity should the application be successful):

Educational qualifications in brief:

Teaching experience in brief:

Briefly describe career accomplishments/teaching and learning outcomes:

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SECTION 3: WRITTEN STATEMENT AND EVIDENCEIn no more than three pages please attach the following:1. Maximum one page written statement of the contribution to student learning; what you did and why, how

it improved student learning/engagement, and evidence of that improvement.

2. Maximum one page evidence of achievement related to ONE of the following responses* in Deakin’s Learning promise (LIVE the future): Provide premium cloud and located learning Deliver global and connected education Welcome, support and retain committed and capable learners Empower learners for the jobs and skills of the future

3. Maximum one page evidence of achievement related to ONE of the following Selection Criteria* from the Office for Learning and Teaching (OLT) Australian Awards for University Teaching Citations: Approaches to teaching that influence, motivate and inspire students to learn Development of curricula and resources that reflect a command of the field Evaluation practices that bring about improvements in teaching and learning Innovation, leadership or scholarship that has influenced and enhanced learning and teaching

and/or the student experience.

*Refer to the Learning Awards Guidelines for further detail regarding the selection criteria (Available on the awards webpage).

Please note: The application is limited to three A4 pages excess pages will be removed (see guidelines for details):

o One page Written Statement and Evidenceo One page for one Deakin criteriao One page for one OLT criteria.

Applicant details are limited to one page (two for teams) excess pages will be removed. Faculty must proof read, check for authenticity and compliance, and endorse the final application – please

see Section 5 below. The formatting requirements will be strictly enforced – please refer to the Learning Awards Guidelines for

further instructions.

SECTION 4: REFERENCESNo. Name of referee Position

1

2

Please attach two references to this application form (no more than one A4 page each – excess will be removed) as follows: One reference must be from a senior colleague/supervisor. The other reference must be from a colleague not teaching in the same school, but who is able to

comment on your/the team’s contribution to teaching at Deakin and your/the team’s performance in relation to the selection criteria set out above in Section 3.

SECTION 5: FACULTY ENDORSEMENT*3

Vice-Chancellor’s Awards - Updated June 2015

Faculty must proof the application and ensure it complies with the application requirements set out above, before submitting the application to learningresearch@deakin.edu.au*Your Faculty Associate Dean (Teaching and Learning) or Head of School may be of assistance here.

I, (PRINT NAME) ______________________________________ have proofed and checked the application for compliance.

Position: ____________________________________________

Faculty/Institute: _____________________________________

Signature: ___________________________________________ Date: / / 2015

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SECTION 6: SUPPORT FOR APPLICATION(Faculty Pro Vice Chancellor or equivalent)

Please note: The Learning Research and Evaluation Coordinator will seek this support for all applications. You are not required to do this.

FaFac

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