Peer Observation College
Associate Application Form
Academic Year 2015/16
Personal Details
Name
School/Dept
Email
Campus
Staff Category & Level
Username
Teaching Experience (please tell us about your experience in teaching in HE e.g. years, roles
modes of teaching etc.)
Evidence of Good Practice in Teaching and Learning (please tell us why you think you can
support colleagues to enhance their teaching and include evidence e.g. SET/SEM scores, external
examiner comments, peer feedback etc.)
www.nottingham.ac.uk/tld/poc/
Experience of engagement in peer observation type schemes (please tell us about your
experience of peer observation both as an observer and observe).
Specific Areas of Interest/Expertise (please tell us if there are specific areas you feel
confident in giving feedback e.g. large group lectures, online learning, laboratory classes…)
Once completed please give this form to your Head of School for endorsement and they
will send it to us.
Endorsement by Head of School
By endorsing this application you are confirming the information above and agreeing to this individual’s
participation in the Peer Observation College.
Name
Signature
Date
Additional comments on the applicant’s suitability for this role
Please return the completed form to Laura Dominguez using the address
teaching@nottingham.ac.uk by 23rd December 2015.
www.nottingham.ac.uk/tld/poc/