Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Application must be double-sided. Section 1: Application Form Personal Details Title Surname First Name E-mail Address Correspondence Address Appointment Details Position Title Current Academic Level School/Directorate Portfolio Campus Date of Initial Appointment Date of Appointment/Promotion to Current Academic Level Continuing or Fixed-term Appointment (include expiry date) Current Fraction Length of Service at the University Have you successfully completed your probationary period? Academic Level Applied For Level C Level D Level E Levels of Achievement Claimed Refer to Academic Promotion Procedure for Levels C, D and E Meritorious Outstanding Distinguished High Distinguished Leadership and Engagement Page 1 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Additional APPLICANT Information Yes No Does your promotion application include a case of achievement relative to opportunity? Does your promotion application include approval of equivalent accreditation and standing status? Please print name Signature Date Contact Extension No. Privacy Collection statement Information on this form is collected for the primary purpose of assessing an application for academic promotion; communicating with the applicant; attending to administrative matters; de-identified statistical analysis; and disclosure to the promotions committee. By signing this application, you consent to the information contained in it to be disclosed and used as described. Page 2 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Section 2: Case for Promotion Section 2.1: Summary Statement of Key Achievements This should be a case for promotion argued according to the criteria for the level of promotion being sought. It should be written as a succinct overview statement highlighting key achievements. Note that Section 4, Professional Folios, provides the opportunity to discuss in detail and to cite evidence in support of these achievements, and to provide critical reflection. Maximum word lengths are as follows: 1,000 words for Level C applications. 1,500 words for Level D applications. 2,000 words for Level E applications. Word Count: Section 2.2: Discipline Context Summary (Maximum word length is 250 words) Provide a context summary of your discipline/research area. (e.g. opportunities and challenges) Word Count: Page 3 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Section 2.3: Case for Achievement Relative to Opportunity (Maximum word length is 800 words) Applicants may outline work arrangements and special circumstances, and their impact on career progression and performance. Please refer to Academic Promotion Policy. Word Count: Page 4 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Section 3: Curriculum Vitae This template is provided to assist applicants and provides a preferred format, however you may adjust or add to the sub-headings and extend spaces provided for information. Your curriculum vitae should not exceed three pages in length. Academic Qualifications Formal Qualifications Year Qualification University Other Qualifications Year Qualification Institution Further Study being Undertaken Expected completion date: Expected completion date: Appointments Current Appointment Year Position Location Position Organisation Previous Appointments Year Academic/Professional Awards and Distinctions Academic/Professional Association Memberships/Roles Page 5 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Section 4: Professional Folio Introduction: The Professional Folio is a structured format for presentation of supporting evidence in the area of Leadership and Engagement, and a commentary on the quality and impact of achievements. Original documents and records must be submitted to Human Resources preferably in an electronic format. Templates provided are to assist preparation of supporting evidence and represent the preferred format; however applicants may adjust or add to sub-headings as required and within the advised word limit. Page 6 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Section 4.1: Professional Folio – Leadership and Engagement Leadership within the School and the University This may include committee membership and activity, special projects, serving as a representative of the University on external bodies, liaison with industry representatives, service to professional associations or discipline related groups. Date Description of Role Engagement Activity This may include professional service, practice based research, project leadership with community partners, problem solving, policy development, change management, public education and advocacy funded projects, and entrepreneurial activity leading to outcomes for the discipline, School, University or community. Date Description of Role Summary of Major Leadership and Engagement Responsibilities and Initiatives (up to 1,000 words) Word Count: Page 7 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Critical and reflective commentary on activity and achievement in Leadership and Engagement and where appropriate the integration of teaching, research and educational leadership This section provides an opportunity to discuss activity and achievement against the criteria for promotion. Include, for example, recent reading in learning and teaching, a discussion on how research informs your teaching, discussion of evaluative feedback from peers and students. Identify significant activity in areas such as innovative teaching practices, curriculum development, assessment, development of flexible/blended delivery courses, response to student feedback and effectiveness in promoting student learning. Maximum word lengths are as follows: 1,800 words for Level C applications. 2,250 words for Level D applications. 2,000 words for Level E applications. Word Count: Page 8 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Section 5: Referees Applicants to Levels C, D and E must nominate up to three referees. At least one referee must be external to the University for applications to Academic Level C, at least two referees must be external to the University for applications to Academic Level D, and at least two referees must be external to the University and at least one of the external referees must be an international referee for applications to Academic Level E. Title Name Postal Address: Suburb/Town: E-mail Address State: Phone Number: Post Code: Fax Number: Why referee was chosen: Internal Referee Title External Referee Name Postal Address: Suburb/Town: International Referee E-mail Address State: Phone Number: Post Code: Fax Number: Why referee was chosen: Internal Referee Title External Referee Name Postal Address: Suburb/Town: International Referee E-mail Address State: Phone Number: Post Code: Fax Number: Why referee was chosen: Internal Referee External Referee International Referee Page 9 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Section 6: Executive Dean’s Report The Executive Dean is required to prepare an evaluative report that addresses the merits of the applicant’s case with reference to the levels of achievement claimed by the applicant and comment on the referees chosen. This report must be typed. Executive Dean’s Details Title and Full Name Division School/Portfolio Position Held E-mail Address Correspondence Address Phone Extension Executive Dean’s Comments on Leadership and Engagement Executive Dean’s Comments on Contribution to the Faculty and University’s Charter Executive Dean’s Comments on Case for Achievement Relative to Opportunity Any other information relevant to the application Page 10 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Executive Dean’s Recommendation The case presented by this applicant is (place an x on the scale below to indicate support): 5 0 Strongly Supported Not supported Provide reasons for recommendation: Please print name Executive Dean’s Signature Date Contact Extension No. Page 11 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement Applicant is required to complete the following section I have read the contents of the Executive Dean’s report provided above as per Academic Promotion Procedure for Levels C, D and E. Please print name Applicant’s Signature Date Contact Extension No. Applicant Response to the Executive Dean’s Report (optional) (Maximum word limit is 500 words) Page 12 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement TYPES OF SUPPORTING EVIDENCE FOR APPLICATIONS Example of types of supporting evidence are below. Supporting evidence must be submitted with your application and preferably in electronic format (e.g. memory stick). Leadership and Engagement Committee membership Invitations to be on editorial boards Invitations to participate in community engagement activities/participation in relevant community groups/networks Industry reports Membership of professional associations Partnership reports Consultancy reports Provision of advice to governments, public service departments, industry or community groups Evidence of interaction in the public media Informing and contributing to public debate related to academic expertise Expert member on policy or advisory board Activities which raise the profile of the University Please note, these examples are not exhaustive. Page 13 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015 Intensive Application Academic Promotion Levels C, D and E | Leadership and Engagement CHECKLIST FOR SUBMITTING APPLICATIONS Have you: Checked your eligibility?: Completed at least one year’s service at date of call? Successfully completed probationary period? Participated in PRDP? Hold a PhD or equivalent accreditation and standing. Completed the application correctly and provided all required information?: Signed your applications in Section 1? Attached and provided your supporting evidence? (Preferably on a memory stick) Has the Executive Dean Report been included with recommendation selected and signed? Have you acknowledged and signed that you have read the Executive Dean’s report? Are your referees correctly nominated?: Level C – 3 referees, 1 external referee*. Level D – 3 referees, 2 referees external* Level E – 3 referees, 2 external and 1 external must be international. * External referee must not have been employed by FedUni during the three years preceding application closing date. Page 14 of 14 CRICOS Provider No. 00103D Warning: uncontrolled when printed. Authorised by: Director, Human Resources Document owner: Manager, Human Resources Original Issue: Current Version: 18/06/2013 10/07/2015