application form - The Center for Teaching and Learning

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Provost Doctoral Teaching Fellowship
2016-2017 Application Information
The Office of Academic Affairs and the Center for Teaching and Learning collaborates
with Ph.D. programs and the Graduate School to offer a Provost Doctoral Teaching
Fellowship. The purpose of the Provost Doctoral Teaching Fellowship program is to
introduce doctoral students to the teaching practices used in higher education
instruction and to help prepare them to pursue careers in college-level teaching.
Applicants must be a Ph.D. student in a doctoral program at UNC Charlotte with a
demonstrated interest in an academic career. A graduate assistantship commitment
from the applicant’s department is required. 10 hours of the GA ship will be
dedicated to teaching in the Fall 2016 or Spring 2017.
Program Requirements
If you are a successful applicant, you must agree to the following conditions:
1. Teach a 3 hour undergraduate course as the Instructor of Record in either the
Fall of 2016 or the Spring of 2017. The course must be approved by your
doctoral program coordinator and the course’s department chair. Your teaching
will be observed by a faculty member affiliated with CTL and includes individual
conferences.
2. If you select to teach in the Fall 2016 semester, you will attend a two day seminar
from 9-3pm on May 16th and 18th. Then, you will attend a three day seminar from
9:00-3pm on August 8th, 10th, and 12th. There will also be a mid-point
(September 30) and final seminar meeting (December 8) during the fall semester
for the Fall 2016 cohort. These seminars offered by the Center for Teaching and
Learning (CTL) will focus on teaching methods, instructional design, and
assessment. The seminar sessions will include assignments such as, faculty
interview and observation, syllabus development, and peer observations.
3. If you select to teach in the Spring 2017 semester, you will enroll in the three
credit course, Teaching at the College or University Level, GRAD 8001 in the fall
of 2016. As part of the course, you will prepare and present teaching
demonstrations, and cover the same content as those taking workshops, but in
more detail. There will also be a mid-point (February 24) and final seminar (May
4) meeting during the Spring 2017 semester in which you will be teaching.
4. Each group will complete a teaching journal and final report reflecting on your
experience during the teaching semester.
Deadlines
The following deadlines apply to the program:
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February 15, 2016: Application deadline. You must email your scanned application
(see attached.)
March 1, 2016: You will be notified if you have been awarded the fellowship grant.
Stipend
As a participant, you will receive a $5,000 award in addition to your assistantship for
meeting all of the conditions listed above. The award will be paid during the academic
term that you teach.
Application Process (Applications will be available in January)
Complete and sign the attached application form. The applicant’s department head
must certify, on the application form, the commitment of a graduate assistantship and
identify the course and term of the teaching assignment anticipated. Your doctoral
program coordinator will need to recommend you by signing where designated and will
assist you in meeting with the appropriate department chair in order to identify the
specific course and Fall or Spring term you can teach. After completing this information
and obtaining the required signatures, scan your completed application with signatures
and email it to Tracy Rock. (tcrock@uncc.edu), Faculty Fellow in the CTL.
Selection Preferences
Preference will be given to doctoral students who:
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

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have no prior experience in college teaching
are in the final phase of their doctoral work
plan a career on college level teaching
have passed qualifying exams in their program of study.
2016-2017 Application Form
Provost Doctoral Teaching Fellowship
This application should be submitted to Dr. Tracy Rock, Faculty Fellow in the Center for Teaching and Learning by
February 15, 2016 and must include the signature of the applicant, the signature of your doctoral program
coordinator, and the signature of the chair of the department in which the desired course resides. Awards will be
announced on March 1, 2016. If accepted, you will be assigned to teach the designated course in Fall of 2016 or
Spring 2017.
Applicant Name:
Banner ID #: 800-
Graduate Program:
Degrees held (Type and subject):
Term Admitted:
Graduate GPA:
Expected date of graduation with doctorate:
Date of your qualifying/comprehensive exam:
Did you pass?
Former college level teaching experience:
Former teacher-training experience:
Please attach a brief statement of your career goals (i.e., no more than 1double-spaced page).
I agree to abide by the requirements as outlined on the attached PDTF description (attend CTL seminars in Spring
and Fall of 2016 or register for GRAD 8001 in Fall 2016, complete assignments, teach a 3-hour credit course, be
observed, write reflection report). I understand that a stipend of $5000.00 for meeting these requirements will be
paid during the term I teach.
Print name:
Date :
Applicant Signature:
Ph.D. Program Coordinator Approval
I recommend this applicant and verify that the course identified below is appropriate, given the applicant’s background.
Print name: _____________________________________________________________Date: _________________
Signature: ____________________________________________________________________________________
Department Chair Approval
If selected, I will include on the department fall/spring schedule the following course during 2016-2017 identifying this
student as instructor of record. I have verified that this student has a Graduate Assistantship for 2016-2017.
Name and number of the course:____________________________________________________________________
Term (Fall 2016/Spring 2017: _____________________________________________________________________
Signature: ________________________________________________________________Date:_________________
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