ACADEMIC STAFF
APPLICATION FOR COMPLETION OF PROBATION
To be prepared by the Probationer in collaboration with the Probationary Supervisor. The completed form
should be no longer than 6 A4 pages, plus an up-to-date CV and full publications list. [Throughout the form, “tab”
can be pressed at the end of a table row to create an additional row.]
1. Personal Details
Name:
School(s):
Job Title
Date of appointment to probationary
post:
Type of appointment:
Full/Part
Time:
Open-ended/Fixed Term (please delete as appropriate)
Duration of Fixed Term (if applicable):
Contract type:
Teaching & Scholarship / Teaching & Research (please delete as appropriate)
Personal circumstances during period of probation to be taken into account:
2. Probationary Period Details
Probationary Supervisor:
Progress towards meeting any specific conditions of probation e.g. PGCHE:
3. Teaching Contribution
Total teaching hours/contact time for the past year:
Specify details of all teaching undertaken, including actual contact hours and numbers of students and details
of postgraduate supervision during the past year:
Please assess/comment on your teaching load during the past year :
Brief Summary of Evaluations by Students during the past year:
Other contributions to teaching e.g. design and development of new modules, supervisory and tutorial work,
assessment and examining duties during the past year:
Probationary Supervisor’s Assessment of progress in teaching; to include comment on the probationer’s
competence in preparation, teaching and assessment and including comment on observations of the
probationer’s teaching; please comment on contribution to teaching compared to the Probation Plan1:
1
Probation Plans have only been implemented for staff employed on or after 1 August 2010.
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4. Research and Enterprise Contribution during the past year Please also attach a full publications list
Published research and/or enterprise outputs
Type
e.g. book,
journal article
Please set out each output as follows:
Author(s) - % & nature of contribution if not sole authored1 – Date Published - Title - Publisher - No. of
Pages/Word Count – ISBN/ISSN No.
Forthcoming research and/or enterprise outputs
Type
e.g. book,
journal article
1
Please give expected details as follows:
Author(s) - % & nature of contribution if not sole authored1 – Date Published
- Title - Publisher - No. of Pages/Word Count – ISBN/ISSN No.
Status
e.g. in press/under
consideration/under
contract/at planning stage
Please indicate clearly the nature of your contribution – for example, were you the submitting author or intellectual lead?
Research/enterprise funding sought and gained
List funding applied for whether successful or not clearly indicating all applicants and their role to include the % contribution to the
project of each applicant.
Type
e.g.
research,
enterprise,
internal
Please set out each award as follows:
Project Name - Funder – Names of any Co-Investigators and % contribution
- Start & End Dates/Submission Date - Amount of Award
Status
e.g. unsuccessful, pending
outcome
Academic invitations and conference papers during the past year:
Expert advisory and consultancy work during the past year:
Organisation and promotion of research during the past year:
Progress on timetable for completion of PhD (if appropriate):
Probationary Supervisor’s Assessment of progress in research and enterprise; please comment on contribution
to research and enterprise compared to the Probation Plan1:
5. Administrative Contribution
Administrative duties during the past year:
Probationary Supervisor’s Assessment of contribution to administration. Comment should be made on the
effectiveness with which the Probationer has discharged their responsibilities; please comment on contribution
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to administration compared to the Probation Plan1:
6. Learning and Development
Detail any personal learning and development activity during the past year:
Probationary Supervisor’s comments on the personal learning and development record, with reference to the
development needs identified in the Probation Plan1:
7. Case for Completion of Probation
Please detail your case for successful completion of probation and ongoing career progression (with reference
to your Probation Plan1 where one exists). You may wish to make your case under the headings used for
applicants for promotion of “Excellence in Practice/Activity” and “Impact and Recognition within and/or
beyond the discipline and the University”:
8. General – for completion by Probationary Supervisor
The Supervisor may use this space to bring any relevant matters not covered above to the attention of the
Head of School and/or the Academic Staff Probationary Review Committee
Please sign and date below to indicate your agreement with the contents of this Probationary Period Review
Report
Probationer
Date
Probationary Supervisor
Date
Once complete and signed by both parties, the Probationer should send a copy of the form to their Head of
School and the original, together with an up-to-date CV and Publications List, to the HR Operational
Services Adviser, Human Resources, for consideration by the Academic Staff Probationary Review
Committee.
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