Submission Form - Faculty of Health and Behavioural Sciences

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Faculty of Health & Behavioural Sciences
Early Career Citations for Outstanding Contributions to
Student Learning
2015 Submission
Instructions
Shortlisted nominees must provide:
A. A written statement using this template (maximum of four A4 pages in the specified format)
B. A Curriculum Vitae
C. Contact details for two referees including the nominee’s Head of School (or delegate)/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 Early Career Citations for Outstanding Contributions to Student Learning Guidelines.
In assessing the submission against the chosen selection criteria, the Selection Committee will take into
account the extent to which evidence is shown that the contribution has:

Influenced student learning, student engagement or the overall student experience

Been sustained over time

Gained recognition by fellow staff, the University, and/or the broader community including referees.
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 ECCOSL
Submission Form
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with your name and your school or faculty.
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Delete this section and begin with the heading below.
1.
PROPOSED CITATION
The written statement (as detailed in 6.2.1 of guidelines) is limited to four A4 pages and must adhere to the
formatting in this template. Submissions that do not adhere to these requirements will not be accepted.
SAMPLE TEXT: 25 word maximum summation of the citation for outstanding achievement in the field of
teaching excellence.
2.
SYNOPSIS
SAMPLE TEXT: The synopsis must be written in the THIRD PERSON and is a requirement of the
nomination. It should describe the nominee’s contribution to student learning and engagement and the
resulting impact on students. The word limit is strictly 75 words.
Name
School/Faculty
1
3.
SUMMARY OF PARTICULAR CONTRIBUTION AND ITS SPECIFIC CONTEXT
SAMPLE TEXT: The summary of particular contribution and its specific context provides a brief description
of the nominee’s teaching context, experience and responsibilities, and their educational philosophy and
beliefs.
4.
STATEMENT ADDRESSING CHOSEN CRITERION
Criterion – use Heading 2
In the remainder of the statement the nominee describes their teaching activities and achievements,
specifically addressing the chosen selection criterion/a, and providing evidence of impact, sustained
contribution, and recognition.
The submission will be judged against the chosen criterion/a on the extent to which it shows evidence that
the prospective nominee’s contribution has:
a.
Influenced student learning, student engagement or the overall student experience
b.
Been sustained over time.
c.
Gained recognition by fellow staff, the University, and/or the broader community
Another paragraph starts here. Use numbered lists or dot points as required.
1. Numbered list – right-click to restart from 1
2. Numbered list
5.

Dot point

Dot Point
EVIDENCE OF IMPACT, SUSTAINED CONTRIBUTION AND RECOGNITION
SAMPLE TEXT: For the ways in which the contribution has influenced student learning, engagement and/or
the overall student experience, been sustained over time, and been recognised by fellow staff, the University
and/or the broader community:
Block quote for evidence and quotations likely to extend over three lines or more. Block quote for
evidence and quotations likely to extend over three lines or more. Block quote for evidence and
quotations likely to extend over three lines or more. (Source of Evidence)
‘For short quotes (one or two lines), use quote marks’ and integrate into the paragraph like this.
Name
School/Faculty
2
6.
CURRICULUM VITAE
Please attach Curriculum Vitae to this submission (maximum of two A4 pages for individuals).
Name
School/Faculty
3
7.
REFEREES
Please provide names and contact details of two colleagues and your Head of School (or delegate)/Division
or Organisational unit whichever is most appropriate who agree to provide the Selection Committee with
confidential statements on your teaching against the selection criteria. References must be no more than
one A4 page each.
Note that nominees are responsible for contacting referees and requesting that reports be forwarded
electronically, preferably as a PDF, to Michael Hong k.hong@uq.edu.au in the Faculty of Health &
Behavioural Sciences by Monday 21st September 2015.
Head of nominee’s School/Division/Organisational unit
Name
Position
Telephone
Email
Referee
Name
Position
Telephone
Email
Name
School/Faculty
4
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