Application Form - Individual Career Development Scholarship 2016

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CAREER DEVELOPMENT SCHOLARSHIPS APPLICATION

FOR INDIVIDUAL STAFF MEMBERS

Completed applications (MSWord format) to be submitted to career.scholarships@utas.edu.au

by Wednesday 2nd March

2016.

SECTION A Personal & Current Position Details

Name

Staff ID number

Position title

Faculty/Institute/Division

Email address

Phone number

Classification level

School/section

SECTION B Activity Details

What is/are the activity/activities? (20 words max.)

(Selection Criteria 1 and 4)

Provide details of the activity/activities (150 words max.)

(Selection Criteria 1 and 4)

Please provide details of costs.

Item (please specify) Amount $

Total Amount $

Other Sources of funds to support activity (please specify; optional): $

Amount sought from Career Development Scholarship Program $

If the scholarship does not meet the full costs of the proposed activity, how will the balance be paid?

1.

SECTION C Application Addressing the Selection Criteria

How does/will this activity align with and benefit your performance and career development ?

1 (250 words max.)

(Selection Criterion 2)

How does this activity align with the UTAS Statement of Values and the strategic direction of the

Faculty/Institute/Division or University?

(250 words max.)

(Selection Criterion 3)

What outcomes are you expecting for the Faculty/Institute/Division or University?

(250 words max.)

(Selection Criterion 3)

How/why is this proposed activity the best solution for your learning and development need? (250 words max.)

(Selection Criteria 1 and 4)

1

It is recognised that the timing of annual performance and career development conversations may vary between faculties, institutes and divisions and performance and career development plans for 2016 may not yet be finalised. Staff in this situation are encouraged to submit an application and must include their line manager’s support. This support infers a mutual agreement that the proposed activities are aligned to development needs and is a shared agreement to include these in subsequent conversations and plans. In some cases, the selection committee may request a copy of these plans before funds are released.

2.

SECTION D Applicant Declaration

I understand the conditions and process of the Career Development Scholarship as outlined in the Career

Development Scholarship Guidelines and, if successful I agree to use the awarded funds for the purpose described in this application and provide a short report (approx. 200 words) by 28 th February 2017 about the outcomes of the activity undertaken and how it supports my ongoing success.

Signature:

SECTION E Line manager/Supervisor Support for Application

Please indicate whether you support this application for a Career Development Scholarship. Please note that applications without the support of their line manager will be ineligible.

☐  Yes, I support this Career Development Scholarship application and will provide the local workplace support required to ensure the activity is completed successfully.

☐  No, I do not support this Career Development Scholarship application and/or am unable to provide the local workplace support required to ensure the activity is completed successfully.

Please detail your support for the proposed activity, outlining the benefit to the performance and career development of the individual staff member and to the Faculty/Institute/Division.

(Selection Criteria 2 and 3)

(200 words max.)

Signature: Date:

Name: Position:

Completed applications should be sent (word format preferred) to career.scholarships@utas.edu.au

by

Wednesday 2nd March 2016.

3.

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