Application for Academic Staff Promotion Part 1 - DETAILS OF APPLICANT You must not remove any questions; if you cannot answer a question please put in “n/a” into the relevant space provided. Applicants must adhere to page limits and word counts. Font must be Arial 10 and line spacing 1.5. Top and bottom margins are at least 2.5cm, and the left and right margins at least 3 cm. Title Full Name Staff Number Application for PROMOTION from level to level School Faculty Campus Phone work Mobile Email Are there any equity / EEO matters that impact on this application? YES NO If so please provide a brief explanation Maximum - 75 words Academic Staff Promotion – Application 1|Page Basis of the case for promotion: (applicant to assign percentages using multiples of ten and with a minimum percentage of ten in any one category) Influencing university, profession, community; Promoting learning; and Creating knowledge. Provide a brief explanation of the reason for choosing these percentages Maximum - 75 words Domains Refer to The CSU Academic for information on the domains of academic activity and provision of evidence in Academic Promotion. Provide up to 5 points (per domain) showing how the evidence demonstrates that you are already meeting the standards for academic performance, academic reputation and academic leadership at the academic level to which you are seeking promotion: a. Influencing university, professions or community Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence b. Promoting learning Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence c. Creating knowledge Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence Maximum - 1 Sentence Academic Staff Promotion – Application 2 | Page Education Tertiary qualifications Year of commencement of doctoral studies Date awarded Institution Title of theses/dissertations Work history at Charles Sturt University (start with most recent and duplicate the format as necessary) Title Level Length of time in position from yyyy/mm to yyyy/mm If needed add another work history section please duplicate the above format Date of probation confirmed Date commenced duty in current classification (year and month) Dates (from most recent) and brief details of SSP or any other activities (such as Centre Fellowships, secondments, Post Doctoral Fellowships.) Dates Activity - Maximum - 1 Sentence Dates Activity - Maximum - 1 Sentence Dates Activity - Maximum - 1 Sentence Dates Activity - Maximum - 1 Sentence Work function description Teaching and Research Teaching focused Research only Teaching and Professional Employment fraction (current and historical) Academic discipline Do you meet the qualification requirements for the level to which promotion is sought? YES NO Academic Staff Promotion – Application 3 | Page If YES, proceed to part 2; if NO, the applicant must complete the section “Equivalent Accreditation and Standing”. An applicant who does not satisfy qualification requirements or demonstrate equivalence will not be promoted. Equivalent Accreditation and Standing (To be completed by applicants who do not meet the qualification requirements for the academic level sought). Maximum 1 A4 page Part 2 - APPLICANT’S STATEMENT OF CASE FOR PROMOTION Maximum 2 A4 pages Academic Staff Promotion – Application 4 | Page Part 3 - EVIDENCE PORTFOLIO I. Influencing University, Profession and / or Community Provide a statement, supported by evidence, which outlines the impact and contribution you have made to the university, your profession and/or the community, regionally, nationally or internationally. This may involve a narrative description and / or tables of relevant data. Maximum 1 A4 page II. Promoting Learning Data are for the period of the last three years Data provided by the applicant Subject Subject Year/ No. of Applicant’s role Nature of Form of Code Name Session students (see example no. 1) subject teaching (see example no. 2) (see example no. 3) 1. Subject coordinator, lecturer, team teaching, tutor 2. Level of subject, service teaching, theoretical or practical, on-campus, online or field based or mixed mode 3. Lectures, tutorial, fieldwork, clinical supervision, project / research supervision A copy of this completed table is to be forwarded by the applicant to dsladmin@csu.edu.au to request a report from all relevant student surveys which the Division of Human Resources will attach to your application. Academic Staff Promotion – Application 5 | Page Additional data provided by the Applicant Provide a statement, supported by evidence, which outlines the impact and contributions of your teaching-related activities. This may involve a narrative description and / or tables of relevant data Maximum 1 A4 page III. Creating Knowledge Please attach the CSU Research Data PDF document provided by Division of Human Resources. This document contains a report of Charles Sturt University (CSU) research information. Section included are: Applications: Applications for research funding during the reporting period Active Research Grants: All research projects that were active at any stage during the reporting period. HERDC Income: All research income received that was eligible for inclusion in the Higher Education Research Data Collection. Research Outputs: All research outputs eligible for inclusion in either the Higher Education Research Data Collection or the CSU Research Output Collections process and creative works awarded points internally. For HERDC Income and Research Outputs, five years of date is provided i.e. the “reporting period” is five calendar years prior to the year the report is produced. The current calendar year cannot be included due to the need for a data verification process. Academic Staff Promotion – Application 6 | Page For Application, Active Research Grants and HDR Supervision, five and a half years of data is provided i.e. the ‘reporting period’ is extended to include the current calendar year so that the most up to date information available can be provided. Pre-CSU Research Data Applicants who have not been employed at CSU the full reporting period (i.e. since 1 January 2011) should provide pre-CSU research information from this date using the table below. Please do not duplicate any CSU attributable data which is already provided in the attached CSU Research Data PDF report. Applications (Applications for research funding from external agencies during the reporting period) Application Title Agency ID Date Investigator Other Amount Submitted Role CIs applied Status for Active Research Grants (All externally funded research projects that were active at any stage during the reporting period) Project Title Agency ID End Date Investigator Other Amount Date Submitted Role CIs applied Status for HERDC Income (All research income received that was eligible for inclusion in the Higher Education Research Data Collection) Income Project ID Agency Year Income Amount Category Research Outputs (All research outputs eligible for inclusion in the Higher Education Research Data Collection and creative works awarded points internally) Year Output Title type Outlet All Points Authors HDR Supervision (Recent formal supervision of research higher degree candidates) Academic Staff Promotion – Application 7 | Page Student Student ID Name Course Commenced Load/Mode Status Supervision role Evidence of Research Impact All applicants should complete this section Provide a statement, supported by evidence, which outlines the impact and contributions of your research. This may involve a narrative description and / or tables of relevant data. Your statement may include (but is not limited to) evidence of any esteem measures, peer recognition, traditional metrics (such as H-indices and citation counts) and altmetrics. Research impact and contributions may be discipline specific and / or may apply to a wider academic or non-academic audience, as appropriate. Maximum 1 A4 page Notes: Library staff can assist researchers in the use of the citation tools, see http://libguides.csu.edu.au/impact Part 4 - APPLICANT COMMENTS on any aspect of the data in Part 3 (optional) Maximum ½ A4 page Academic Staff Promotion – Application 8 | Page Part 5 - STANDARDS It is important to remember that it is the application and not the applicant that is assessed against relevant standards to determine the outcome of the promotion application. The responsibility of an applicant is to ensure that the application truly reflects their performance and individuality. Applicants are required to provide a clear case for promotion which demonstrates that they currently meet the University standards for academic promotion to the academic level to which they seek promotion through their commitment to CSU core values and core strategies; The core values and core strategies are specified in the University Strategy Explain how the evidence in Part 3 demonstrates a commitment to these values and strategies. Maximum ½ A4 page Part 6 - CURRICULUM VITAE Applicants to cut and paste a current CV THAT PROVIDES DETAILS RELEVANT TO EACH OF THE THREE DOMAINS: INFLUENCING UNIVERSITY, PROFESSION AND / OR COMMUNITY; PROMOTING LEARNING; AND CREATING KNOWLEDGE. Please note - When listing publications please include a full list to assist in establishing career trajectory. The following headings must be used. In the case of work in press or submitted but not yet accepted, your supervisor must verify status of the work. Note that in the case of publications since 2006 (when submission of data to the Research Office database became mandatory) or since appointment to CSU (if post-2006) only publications identified by the Research Office will be recognised. Full citation must be provided for all publications using the approved referencing convention. Academic Staff Promotion – Application 9 | Page Books, monographs Chapters in books Journal articles Refereed articles Non-refereed articles Conference papers Refereed conference papers Non-refereed Conference papers Creative works Publication, exhibition or performance details Reports Report’s commissioned by international, government, commercial and other agencies Other publications Letters, web sites, etc. Maximum 6 A4 pages, plus publication list Part 7a – NOMINATION OF SUPERVISOR How many supervisors do you have? Please supply details of each supervisor You will need to have a report from each of your supervisors. Part 7b - STATEMENT BY THE SUPERVISOR This section is to be completed by the Supervisor as defined in the Academic Staff Promotion Policy and Procedure Name of Applicant please copy this section for multiple supervisors The Supervisor must not act as an advocate but, by referring to evidence, provide accurate, balanced, and impartial advice on an applicant’s achievements that will assist the relevant promotion committee to reach its decision. a. Are the percentages assigned by the applicant to the 3 domains appropriate to negotiated workload and needs / demands of the academic unit Academic Staff Promotion – Application 10 | Page YES NO If not, provide a brief comment Maximum - 75 words b. Commentary on the evidence provided in each of the domains Maximum - 100 words c. Comment on whether the applicant is meeting the standards for the academic level sought in terms of academic performance, academic reputation and academic leadership The supervisor is not expected to comment on the contribution to the discipline area The Independent Academic Assessors will perform this function Maximum - 75 words d. Date of most recent EDRS and outcome Maximum - 75 words e. Disciplinary Statement Providing Disciplinary Context Including Expected Qualifications or Equivalence Maximum ¾ A4 page Should include details of norms for discipline area – i.e. normal practice in teaching (e.g. role of lectures, tutorials, laboratory classes, field experience, clinical work, practicums, etc) and research (grants, publications and conventions about authorship etc) Postgraduate supervision – normal practices Academic Staff Promotion – Application 11 | Page Typical career path for academics in your discipline (expected qualifications etc and details of equivalence if qualification standard is not met) f. Any other relevant comments that will assist committee members in reaching a decision Maximum - 75 words I certify that: Factual claims provided in this application have been verified I recommend the Applicant be promoted Name YES YES NO NO Signed (Supervisor) School or Unit Date g. Comments by relevant Research Centre Director, where the applicant is a member of a Research Centre Maximum - 75 words Name of Centre Centre Director Part 8 - APPLICANT COMMENT ON STATEMENT BY THE SUPERVISOR Comments by applicant on this report (optional) Academic Staff Promotion – Application 12 | Page Maximum - 75 words Please email your completed application to academicpromotions@csu.edu.au and cc. your supervisor with the completed application thank you Academic Staff Promotion – Application 13 | Page