Professional Exchange Pre-CPD evaluation: Name: Organisation: Email address: 1. What type of provider is your organisation? 2. General FE College Sixth Form College Specialist College (e.g. Land-based or Adult Residential) Independent Training Provider Local Authority Training Provider Offender Learning Charity / Third Sector Organisation Group Training Association (GTA) Employer Provider Other (Please specify) Which region is your organisation based? (Please select one option only) East of England East Midlands Greater London North East North West South East South West West Midlands Yorkshire and the Humber National or multi-regional 3. Please select the occupational category that best matches your main job role. Principal / Chief Executive / Managing Director / Executive Director Senior Manager e.g. VP, AP Middle Manager / Functional Manager Teacher / Lecturer / Trainer / Tutor 4. Assessor Governor / Trustee / NED Other (please specify): If you are a teacher/practitioner, what is the main subject you teach? (Please choose the most appropriate category). Agriculture, horticulture and animal care Arts, media and publishing Business, administration and law Community development Construction, planning and the built environment Education and Training (including initial teacher education) Engineering and manufacturing technologies English (including literacy) Family learning Health, public services and care Humanities Information and communication technology (ICT) Languages, literature and culture Leisure, travel and tourism Maths Preparation for life and work Retail and commercial enterprise Science Social Sciences 5. What is the highest level of academic qualification you hold? - Level 8 (e.g. Doctorate) - Level 7 (e.g. Masters Degree, PG Dip, PG Cert, PGCE) - Level 6 (e.g. Bachelors Degree, Graduate Certificate, Graduate Diploma, Professional Certificate in Education) - Level 5 (e.g. Foundation Degree, HND, Dip HE, Dip FE) - Level 4 (e.g. Certificate of Higher Education, BTEC, NVQ) - Level 3 (e.g. 2 A levels, 4 AS levels, BTEC , NVQ) - Level 2 (e.g. 5+ GCSEs at grades A-C, BTEC , NVQ) - Level 1 (e.g. GCSEs at grades D-G, BTEC, NVQ) - Entry level (e.g. Entry level Certificate, Foundation Diploma, BTEC Level 1 Certificate) - No formal qualifications - Other (please specify): 6. What is the highest level of academic qualification you teach? - Level 8 (e.g. Doctorate) - Level 7 (e.g. Masters Degree, PG Dip, PG Cert, PGCE) - Level 6 (e.g. Bachelors Degree, Graduate Certificate, Graduate Diploma, Professional Certificate in Education) - Level 5 (e.g. Foundation Degree, HND, Dip HE, Dip FE) - Level 4 (e.g. Certificate of Higher Education, BTEC, NVQ, Higher Apprenticeship) - Level 3 (e.g. 2 A levels, 4 AS levels, BTEC, NVQ, Advanced Apprenticeship) - Level 2 (e.g. 5+ GCSEs at grades A-C, BTEC, NVQ, Intermediate Apprenticeship) - Level 1 (e.g. GCSEs at grades D-G) - Entry level (e.g. Entry level Certificate, Foundation Diploma, BTEC Level 1 Certificate) No formal qualifications Other please specify Please identify which skills or areas of expertise you wish to develop and why it is important to your role. Then rate your current ability level where 1 is low and 5 is high. (Please extend boxes to write as much as you want). Skills / areas of expertise for improvement (e.g. subject knowledge, time management, managing disruptive behaviour, use of technology, assessment, etc. Please add your own) Importance to role (e.g. dual professionalism, difficult learners, lack of technology skills, etc.) Current ability level (1 is low, 5 high) 1 2 3 4 5 Please indicate what would be your preferred CPD approach? - Individual learning Peer group Buddy system Mentoring Coaching Training Blended approach (i.e. on-line + any of the above) Other (please state) Please describe what changes to your practice and/or that of your colleagues you would like as a result of your CPD experience. Please describe what positive benefits to learners you would like to see as a result of your CPD experience. Please indicate if you are interested in learning more about and possibly attending one of the events already planned in this project, and tell us which one: What other subjects would you like to see covered as part of the Professional Exchange? Please identify which skills or areas of expertise you could share with colleagues across the Professional Exchange. Skills / areas of expertise which you feel you can offer Prior CPD delivery experience (e.g. training, coaching, mentoring etc.) Please fill this form in and return it to J.chamberlain@warwick.ac.uk