2015 Application Form (.doc)

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CAREER ADVANCEMENT FOR SENIOR ACADEMIC WOMEN
EXPRESSIONOFINTEREST–2015PROGRAM
Title
Name
Work phone
Mobile
Email
School/ Institute/ Faculty
Your role/s within UQ
(Include your Level and Category)
Date of last promotion?
Continuing or Fixed term? (Please circle)
If fixed term, what is the end date of
your current contract?
Dietary requirements or other special
requirements
Your application for this program does not guarantee your participation, as places are limited.
What are you hoping to achieve from participating in the program? (Up to 200 words)
When evaluating yourself against the current UQ policy and procedures for promotion to Professor:
a) What are your strengths?
b) What are areas would you like to further develop on?
What year are you intending to apply for promotion?
1. All elements of the program are compulsory specifically the 3 workshops. You
must be able to commit to attending all scheduled elements and activities. If you
are unable to commit to full attendance then please do not apply.
Workshop 1
Workshop 2
Workshop 3
Applicant’s Signature
www.uq.edu.au
Yes
30 September 2015 - 2 October 2015 (Residential)
10 December 2015 – 11 December 2015
17 March 2016
Date
CAREER ADVANCEMENT FOR SENIOR ACADEMIC WOMEN
Commitment from Dean or Institute CEO


I confirm that this person is likely to be ready for promotion within the next 3 years
I confirm that I will enable ………………………………..to fully participate in the Career Advancement for
Senior Women program, including:

assisting her to make time to attend workshops and complete self-directed activities;

being available to provide feedback and discuss her progress in the program and her career plans.
Executive sponsorship is critical in the advancement of women and therefore it is expected that program
participants will meet with their sponsoring executive throughout the six months to discuss program
objectives and outcomes. In addition the sponsoring executive agrees to subsidise the costs of executive
coaching for the participant for up to 4 sessions, and will be invited participate in the final workshop session.
* Sponsoring Manager: e.g. Executive Dean, Institute Director, Director or Equivalent
Name of Dean/CEO
Signature
Date
Please scan and email completed applications to [email protected] by 8 September
2015.
www.uq.edu.au
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