Faculty of Health & Behavioural Sciences
Tutor & Clinical or Professional Practice Supervisor Award
2015 Submission
Instructions
Shortlisted nominees must provide:
A. A written statement (maximum of two A4 pages) and evidence (maximum of one A4 page) using
this template in the specified format
B. A Curriculum Vitae
C. Contact details for two referees including the nominee’s Head of School/Division or Organisational
unit whichever is most appropriate. Referees are to provide their reports in confidence and
separately from this submission to the Senior Academic Administration Officer, Michael Hong
k.hong@uq.edu.au
Comprehensive details of submission requirements are contained in the Faculty of Health & Behavioural
Sciences Tutor & Clinical or Professional Practice Supervisor Awards Guidelines.
Completed submissions must be forwarded electronically, preferably as a PDF, on or before Monday 21st
September 2015, to Michael Hong k.hong@uq.edu.au.
Nominee
School
Academic qualifications
(including institution)
Email
2015 Faculty of Health & Behavioural Sciences TCPS Award
Submission Form
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1.
WRITTEN STATEMENT
The written statement should describe the nominee’s contribution to teaching that enhances the engagement
and learning of students. The written statement is two A4 pages in addition to one A4 page for evidence and
must adhere to the formatting in this template. Submissions that do not meet these requirements will not be
considered.
In the remainder of the statement the nominee describes their teaching activities and achievements,
specifically addressing the chosen selection criteria, and providing evidence of impact, sustained
contribution, and recognition.
The submission will be judged against the criteria on the extent to which it shows evidence that the
prospective nominee’s contribution has:
a) teaching that enhances the engagement and learning of students
Name
School/Faculty
2
b) been sustained over a minimum of two semesters
c) gained recognition from fellow staff, students, and the School
CRITERIA
Approaches to the support of learning and teaching that influence, motivate and inspire
students to learn
Effective approaches to assessment, feedback and learning support
Respect and support for the development of students as individuals
Name
School/Faculty
3
EVIDENCE OF IMPACT, SUSTAINED CONTRIBUTION AND RECOGNITION
(Maximum 1 Page)
Name
School/Faculty
4
2.
CURRICULUM VITAE
Please attach Curriculum Vitae (maximum of two A4 pages for individuals).
Name
School/Faculty
5
3.
REFEREES
Please provide names and contact details of one colleague who agreed to provide confidential statement on
your contribution to student learning against the nominated selection criteria. References must be no more
than one A4 page each.
Note that nominees are responsible for contacting the referee and requesting that reports be
forwarded to Michael Hong k.hong@uq.edu.au in the Faculty of Health & Behavioural Sciences by
Monday 21st September 2015.
Referee
Name
Position
Telephone
Facsimile
Email
Name
School/Faculty
6