TEACHING ACADEMY NOMINATION COVER PAGE 2015 Deadline: 5:00 PM Friday April 3rd, 2015 Must be submitted electronically to CIE (CIE@purdue.edu) Nominee's Name: Rank: Department, College/School, or Program: Nominee’s campus mailing address: Nominee’s campus or cell phone: Date Purdue University Service Began: Nominated for (please check one) Fellow Associate (graduate students, lecturers, or instructors) Description of Department, College/School, or Program nominee selection process with evidence of peer review. NOTE: This is NOT a recommendation letter; the content of this cover page will NOT be considered during the selection process. Dean's Name: Dean’s campus mailing address: Dean’s contact phone number: Dean's Signature: (may be electronic signature) Nominee Name: __________________________ Page 1 (What follows is the recommend template for a Teaching Academy Nomination.) (Items that are highlighted in yellow and found in parenthesis are intended to provide guidance in developing the nomination and should be deleted from the final nomination form. Likewise, you may add or delete pieces of evidence as you see fit. Sections containing bullets may be converted to a paragraph format if a logical reason exists for doing so. Please note that the maximum length of the document is five (5) pages.) 1. Teaching/Education Philosophy and Goals (This section should describe your philosophy and goals in paragraph form. The Academy makes a distinction between these two. A teaching/educational philosophy describes what you believe about teaching, learning, students, and instructors, and how these four items interact. Teaching/educational goals are outcomes you would like your students to achieve. While these two items should relate to each other, they are not the same. References to the literature on teaching and learning are encouraged.) 2. Teaching Activities (This section should describe the specific course or courses you have taught in the previous four (4) years, with an emphasis on those taught more recently. The third table below provides a template for how scores should be presented.) Table 1. Courses Taught Sem Course Number (Credit Hours) Course Title Required or Elective? Enrollment Mode Of Instruction Contact (hrs/wk) Fall 2013 ENGL 41200 (1) American Women Poets Elective 35 Lecture 3 Table 2. Engagement Programs Dates Program Title & Brief Description Intended Audience July 2012 Creative writing workshop for middle school middle school teachers Enrollment Participant Contact Hrs 25 6 Table 3. Course Evaluations (Scores on a 1-5 point scale with 5 being highest) Sem Course Number # Responses/ # Enrolled Fall 2013 ENGL 41200 31/35 Nominees Course Evaluation Score 4.57 Nominees Instructor Evaluation Score 4.08 Nominee Name: __________________________ Page 2 Student Comments regarding evaluations Table 4. Teaching Awards Award Award Sponsor Level of Award Year (Department, College/School, University, Professional Society) Teaching for Tomorrow Award Purdue University University 2009 3. Teaching Innovations Course/Program/Curricular Creation or Innovation: (Examples may include the attainment of a teaching innovation grant, successful integration of multimedia instruction and technology to enhance student learning, etc.) Instructional or Curricular Problem Solved: (Description of an instructional or curricular problem that the nominee solved and how the body of knowledge on teaching and learning was used as a vehicle for solving the problem. This might include a description of how the problem was identified, what process/method the nominee took to address the problem, and the evaluation of its impact. These two sections may be combined, as the solution to a curricular problem may have been to create a new course.) 4. Teaching Service Student Contact Outside of Classroom: (E.g., academic advising, graduate committees, advising a student organization, supervising of undergraduate research, etc.) School/College or University Committees related to Education and Teaching: Nominee Name: __________________________ Page 3 Professional Activities Related to Education and Teaching Outside the University: E.g. participation on an education committee for a professional society. 5. Scholarship of Teaching and Learning (This section should demonstrate the nominee’s commitment to the Scholarship of Teaching and Learning. The Academy makes a distinction between “Scholarship” related to your area of research expertise and “Scholarship of Teaching and Learning”. While both involve research, analysis, and publication or presentation, the Scholarship of Teaching and Learning focuses on the nominees publications and presentations on teaching activity, pedagogy, student learning, etc. Please provide only scholarly evidence related to teaching and learning.) Peer-Reviewed Journal Articles: Peer-Reviewed Conference Papers: Text Books/Book Chapters on Pedagogy: Invited Presentations: Poster-Sessions: End of Nomination Form