Please complete all the sections of this form as fully as you can at

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Organisation and Educational Development (OED)
Registration
Advancing Teaching: Lancaster Accreditation Scheme (ATLAS)
ATLAS Professional Experience Pathways are part-time, in-service professional development designed to
support colleagues with a diverse range of teaching and learning support responsibilities and academic
duties. Full details about the programme, including attendance requirements and FAQs, are available on the
OED website: http://www.lancaster.ac.uk/hr/OED/ED/ATLAS
Please complete all the sections of this form as fully as you can at this point, expanding boxes as needed. We
acknowledge this is a long form and appreciate your completing it. The information is used to help us fairly
allocate places on the programme, and to help ensure that the most appropriate development pathways are
selected appropriate to individual needs and experience.
When completed please email it to: atlas@lancaster.ac.uk
SURNAME / FAMILY NAME
TITLE (Mr, Ms, Dr, etc)
OTHER NAMES (IN FULL)
MALE
FEMALE


DATE OF BIRTH
ADDRESS FOR CORRESPONDENCE (Including Postcode)
DEPARTMENT
NATIONALITY
TELEPHONE/MOBILE
WORK TELEPHONE
LANCASTER UNIVERISTY EMAIL ADDRESS
PLEASE INDICATE ANY PHYSICAL OR OTHER DISABILITIES
WHICH MAY NECESSITATE SPECIAL ARRANGEMENTS OR
FACILITIES
PLEASE INDICATE ANY SPECIFIC DIETARY REQUIREMENTS
1
Qualifications and Courses
Please provide a brief outline of all relevant qualifications
DATES
FROM
TO
FT / PT
INSTITUTION ATTENDED
DEGREE / QUALIFICATION
OBTAINED OR PENDING
CLASS OF
DEGREE / GPA
Employment in HE
Please provide a brief outline, in chronological order, of employment within the HE sector prior to and
including your appointment at Lancaster
DATES
FROM
TO
FT / PT
INSTITUTION
ROLE e.g. Lecturer, Teaching Fellow, Research
Associate etc
Current teaching / learning support role and responsibilities
Please give as full details as far as you are currently able at this stage – this information is used by tutors to help
tailor the programme to participants’ needs where appropriate
MODULE TITLE & LEVEL
e.g. Introduction to Astrophysics
Yr 1, 20 Credits
CONTACT
HOURS IN
TOTAL
e.g. 20 Hrs
TEACHING TERM
i.e. Michaelmas /
Lent / Summer
MAIN MODES OF TEACHING
e.g. Lecture, Seminar, Workshop,
Online, Lab, PhD Supervision, etc
APPROX.
CLASS SIZE
Summary of prior teaching / learning support experience – please describe as fully as possible:
TITLE, LEVEL AND CREDITS
CONTACT COURSE DESIGN
HOURS IN RESPONSBILITIES (may be
TOTAL
individually or as part of a
team)
MAIN MODES OF TEACHING
e.g. Lecture, Seminar,
Workshop, Online, Lab, PhD
Supervision, etc
# YEARS CLASS
YOU
SIZE
TAUGHT
ON THIS
COURSE
2
Other current or prior Teaching-related administrative responsibilities
DATES
FROM
TO
TEACHING RELATED RESPONSIBLITIES e.g. Module leader, PhD Supervisor, Admissions Tutor,
Exams Officer, Teaching Committee rep, Part 1 Director etc
Please describe fully your professional development as an HE teacher to date
COURSES / EVENTS ABOUT TEACHING UNDERTAKEN OR ATTENDED (Please give dates, length, subject matter and any
relevant professional accreditation gained as a result – e.g. HEA Fellowship)
TEACHING DEVELOPMENT PROJECTS UNDERTAKEN (institution level or as part of a national / disciplinary initiative)
SELF-INITIATED PROFESSIONAL DEVELOPMENT (e.g. using feedback from students, membership of teaching networks,
conferences, reading relevant literature, membership of teaching related committees, piloting innovative teaching
methods)
INVOLVEMENT IN PEER REVIEW OF TEACHING (e.g. peer observation, team teaching, course planning and review
meetings)
SCHOLARSHIP OF TEACHING AND LEARNING (this may include publications related to teaching in your discipline)
ANY OTHER FORMS OF RELATED OR RELEVANT ACADEMIC / PROFESSIONAL DEVELOPMENT
Areas for development
PLEASE EXPLAIN ANY ASPECTS OF YOUR EDUCATIONAL PRACTICE YOU WOULD BE INTERESTED TO DEVELOP VIA ATLAS
3
Does undertaking some or all of the PGCAP programme / or achieving Professional Recognition
for teaching form part of your probationary agreement?
 Yes, it is part of my probationary agreement
If yes, what is the probationary requirement?
 No
By when are you expected to have completed?
HEA Fellowship status you intend to work towards
 Associate Fellow
 Fellow
 Senior Fellow
 Principal Fellow*
*Principal Fellowship is not offered via ATLAS, however we may be able to support
your application. Please contact atlas@lancaster.ac.uk for further information
Preferred start (Welcome workshops run throughout the year, typically in September, February and April. We will try
to accommodate your preference as much as possible, but note that places for welcome workshops are limited so
please indicate all possibilities where you have flexibility. Thank you.)
 September
 February
 April
 Any
I certify that I have completed this registration form myself, and that the information I have
given is correct
Signed
Date
What next?
If you are a new member of staff, ATLAS may form part of your probationary agreement. If so, confirmation from
the Head of Department that s/he supports your registration for this programme is required. Please ask them to
complete the letter of agreement on the next page of this registration form. Electronic signature or an email from
the HoD containing the letter of agreement is acceptable.
This agreement includes guaranteeing that you will be available to attend relevant sessions, and that the HoD is
fully aware of the time commitment and will ensure that other departmental duties do not prevent you from
completing this programme in a reasonable time. When we have processed your registration we will send you
confirmation of your place, relevant workshop dates and further joining information.
You are advised to discuss your application with your HoD anyway in order to make them aware of your intention
to participate in the scheme as a part of your development activity.
Please contact atlas@lancaster.ac.uk with any further enquiries and questions.
4
Departmental Letter of Agreement
Information for Heads of Department
ATLAS is offered as a flexible experienced-based pathway to achieving professional recognition for teaching,
accredited by the Higher Education Academy (HEA). It replaces the route previously known as PGCAP Experienced
route. PGCAP remains the principal pathway of development for new staff with under three years of experience
teaching in HE.
ATLAS is designed to suit the initial and continuing educational development needs of a range of experienced
colleagues involved in teaching and supporting learning in HE. Academic colleagues joining the scheme can opt for
pathways leading to Fellow or Senior Fellow of the HEA, with new staff usually aiming for Fellow status.
Development is framed by support from tutors, peers and a professional mentor, along with engagement in a
choice of development activities and resources. Colleagues will typically take six months before reaching a
position in which they will be able to submit, at which point they are assessed on a final critical review of their
educational practice.
Pathways operate flexibly, with multiple workshop dates and submission opportunities for participants. Detailed
information about the scheme pathways, dates and the time commitment involved in the process can be located
from http://www.lancaster.ac.uk/hr/OED/ED/ATLAS/index.html
HoD Confirmation
As HoD, I have discussed the ATLAS programme with the applicant and am happy for them to attend and complete
the process in the coming year.
Please confirm the following:
I am aware of the time commitment and the dates and times of attendance, and will
ensure availability to attend the timetabled sessions.
This colleague is mandated to undertake this programme as part of their probationary
agreement, and this requirement has been explicitly factored into the workload
allocation.
I acknowledge that successful completion of the professional accreditation requires some
studying and writing over and beyond the attendance. This time commitment has been
negotiated between us.
I confirm that the applicant will have a sufficient range of teaching and related academic
duties during the year to complete the course.
Any further comments or questions:
Head of Department Signature………………………………………………………………………………
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