Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /

Application must be double-sided.

Section 1:Application Form
Personal Details
Title
Surname
First Name
E-mail Address
Correspondence Address
Appointment Details
Position Title
Current Academic Level
School/Directorate
Portfolio
Campus
Date of Initial Appointment
Date of Appointment/Promotion
to Current Academic Level
Continuing or Fixed-term
Appointment (include expiry date)
Current Fraction
Length of Service at the University
Have you successfully completed your probationary period?
Academic Level Applied For
Level C
Level D
Level E
Levels of Achievement Claimed
Refer to Academic Promotion Procedure for Levels C, D and E
Meritorious / Outstanding / Distinguished / High Distinguished
Leadership and Engagement
Additional APPLICANT Information / Yes / No
Does your promotion application include a case of achievement relative to opportunity?
Does your promotion application include approval of equivalent accreditation and standing status?
Please print name
Signature
Date / Contact Extension No.
Privacy Collection statement
Information on this form is collected for the primary purpose of assessing an application for academic promotion; communicating with the applicant; attending to administrative matters; de-identified statistical analysis; and disclosure to the promotions committee.
By signing this application, you consent to the information contained in it to be disclosed and used as described.
Section 2:Case for Promotion
Section 2.1:Summary Statement of Key Achievements
This should be a case for promotion argued according to the criteria for the level of promotion being sought. It should be written as a succinct overview statement highlighting key achievements. Note that Section 4, Professional Folios, provides the opportunity to discuss in detail and to cite evidence in support of these achievements, and to provide critical reflection.
Maximum word lengths are as follows:
  • 1,000 words for Level C applications.
  • 1,500 words for Level D applications.
  • 2,000 words for Level E applications.0

Word Count: 0
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Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015
Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /
Section 2.2:Discipline Context Summary
(Maximum word length is 250 words)
Provide a context summary of your discipline/research area. (e.g. opportunities and challenges)
Word Count:
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Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015
Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /
Section 2.3:Case for Achievement Relative to Opportunity
(Maximum word length is 800 words)
Applicants may outline work arrangements and special circumstances, and their impact on career progression and performance. Please refer to Academic Promotion Policy.
Word Count: 0
CRICOS Provider No. 00103DPage 1 of 15
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015
Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /
Section 3:Curriculum Vitae

This template is provided to assist applicants and provides a preferred format, however you may adjust or add to the sub-headings and extend spaces provided for information. Your curriculum vitae should not exceed three pages in length.

CRICOS Provider No. 00103DPage 1 of 15
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015
Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /
Academic Qualifications
Formal Qualifications
Year / Qualification / University
Other Qualifications
Year / Qualification / Institution
Further Study being Undertaken
Expected completion date:
Expected completion date:
Appointments
Current Appointment
Year / Position / Location
Previous Appointments
Year / Position / Organisation
Academic/Professional Awards and Distinctions
Academic/Professional Association Memberships/Roles
CRICOS Provider No. 00103DPage 1 of 15
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015
Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /
CRICOS Provider No. 00103DPage 1 of 15
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015
Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /
Section 4:Professional Folio

Introduction:

The Professional Folio is a structured format for presentation of supporting evidence in the area of Leadership and Engagement, and a commentary on the quality and impact of achievements.

Original documents and records must be submitted to Human Resources preferably in an electronic format.

Templates provided are to assist preparation of supporting evidence and represent the preferred format; however applicants may adjust or add to sub-headings as required and within the advised word limit.

Section 4.1:Professional Folio – Leadership and Engagement
Leadership within the School and the University
This may include committee membership and activity, special projects, serving as a representative of the University on external bodies, liaison with industry representatives, service to professional associations or discipline related groups.
Date / Description of Role
Engagement Activity
This may include professional service, practice based research, project leadership with community partners, problem solving, policy development, change management, public education and advocacy funded projects, and entrepreneurial activity leading to outcomes for the discipline, School, University or community.
Date / Description of Role
Summary of Major Leadership and Engagement Responsibilities and Initiatives
(up to 1,000 words)
Word Count: 0
Critical and reflective commentary on activity and achievement in Leadership and Engagement and where appropriate the integration of teaching, research and educational leadership
This section provides an opportunity to discuss activity and achievement against the criteria for promotion.
Include, for example, recent reading in learning and teaching, a discussion on how research informs your teaching, discussion of evaluative feedback from peers and students. Identify significant activity in areas such as innovative teaching practices, curriculum development, assessment, development of flexible/blended delivery courses, response to student feedback and effectiveness in promoting student learning.
Maximum word lengths are as follows:
  • 1,800 words for Level C applications.
  • 2,250 words for Level D applications.
  • 2,000 words for Level E applications.

Word Count: 0
Section 5:Referees
Applicants to Levels C, D and E must nominate up to three referees. At least one referee must be external to the University for applications to Academic Level C, at least two referees must be external to the University for applications to Academic Level D, and at least two referees must be external to the University and at least one of the external referees must be an international referee for applications to Academic Level E.
Title / Name / E-mail Address
Postal Address:
Suburb/Town:State: Post Code:
Phone Number: / Fax Number:
Why referee was chosen:
Internal Referee / External Referee / International Referee
Title / Name / E-mail Address
Postal Address:
Suburb/Town:State: Post Code:
Phone Number: / Fax Number:
Why referee was chosen:
Internal Referee / External Referee / International Referee
Title / Name / E-mail Address
Postal Address:
Suburb/Town:State: Post Code:
Phone Number: / Fax Number:
Why referee was chosen:
Internal Referee / External Referee / International Referee
Section 6:Executive Dean’s Report

The Executive Dean is required to prepare an evaluative report that addresses the merits of the applicant’s case with reference to the levels of achievement claimed by the applicant and comment on the referees chosen. This report must be typed.

Executive Dean’s Details
Title and Full Name
Division
School/Portfolio
Position Held / Phone Extension
E-mail Address
Correspondence Address
Executive Dean’s Comments on Leadership and Engagement
Executive Dean’s Comments on Contribution to the Faculty and University’s Charter
Executive Dean’s Comments on Case for Achievement Relative to Opportunity
Any other information relevant to the application
Executive Dean’s Recommendation
The case presented by this applicant is (place an x on the scale below to indicate support):
5 / 0
Strongly Supported / Not supported
Provide reasons for recommendation:
Please print name
CRICOS Provider No. 00103DPage 1 of 15
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015
Intensive Application
Academic Promotion
Levels C, D and E | Leadership and Engagement /
Executive Dean’s Signature
Date / Contact Extension No.
Applicant is required to complete the following section
I have read the contents of the Executive Dean’s report provided above as per Academic Promotion Procedure for Levels C, D and E.
Please print name
Applicant’s Signature
Date / Contact Extension No.
Applicant Response to the Executive Dean’s Report (optional)
(Maximum word limit is 500 words)

TYPES OF SUPPORTING EVIDENCE FOR APPLICATIONS

Example of types of supporting evidence are below. Supporting evidence must be submitted with your application and preferably in electronic format (e.g. memory stick).

Leadership and Engagement

Committee membership

Invitations to be on editorial boards

Invitations to participate in community engagement activities/participation in relevant community groups/networks

Industry reports

Membership of professional associations

Partnership reports

Consultancy reports

Provision of advice to governments, public service departments, industry or community groups

Evidence of interaction in the public media

Informing and contributing to public debate related to academic expertise

Expert member on policy or advisory board

Activities which raise the profile of the University

Please note, these examples are not exhaustive.

CHECKLIST FOR SUBMITTING APPLICATIONS

Have you:

Checked your eligibility?:

Completed at least one year’s service at date of call?

Successfully completed probationary period?

Participated in PRDP?

Hold a PhD or equivalent accreditation and standing.

Completed the application correctly and provided all required information?:

Signed your applications in Section 1?

Attached and provided your supporting evidence? (Preferably on a memory stick)

Has the Executive Dean Report been included with recommendation selected and signed?

Have you acknowledged and signed that you have read the Executive Dean’s report?

Are your referees correctly nominated?:

  • Level C – 3 referees, 1 external referee*.
  • Level D – 3 referees, 2 referees external*
  • Level E – 3 referees, 2 external and 1 external must be international.

*External referee must not have been employed by FedUni during the three years preceding application closing date.

CRICOS Provider No. 00103DPage 1 of 15
Warning: uncontrolled when printed.
Authorised by: / Director, Human Resources / Original Issue: / 18/06/2013
Document owner: / Manager, Human Resources / Current Version: / 10/07/2015