FHEA Pro-forma Aberystwyth-Bangor Universities’CPD Recognition Scheme

Appendix C (3): Application for Fellowship (Descriptor 2)

Fellowship is typically awarded to those who can provide evidence of a broadly based effectiveness in teaching and learning in substantive teaching and supporting learning roles. Such individuals are likely to be established members of one or more academic and/or academic related teams. The focus will be on teaching, learning, assessment and related areas within their own institution.

NB Word Count: Total word count (excluding Referees statements and CPD Plan) must not exceed 3000 words. Suggested word counts for each section are included below. Please insert your total word count at the end of the application.

SECTION ONE Information about the applicant
Name ( as you wish it to appear on your certificate) :
Email address and contact number:
Role(s)
Faculty/ School/ Directorate:
Payroll Number: / Length of employment at University:
Full or part time: / Total number of years in Higher Education
(full-time equivalent):
This is an application for Fellowship (Descriptor 2). Please list any relevant qualifications or awards you already hold (related to teaching and learning).
SECTION TWO TEACHING PHILOSOPHY STATEMENT AND CLAIM GRID Demonstrating a sustained track record
Teaching Philosophy: (suggested 500 words) This is a reflective statement of your practice (over the past 5 years) reflecting your philosophy. The statement will be informed by all the dimensions of Descriptor 2 of the UKPSF (see Appendix A of the Scheme Handbook)
CLAIM GRID ( suggested 2,000 words)
This is a brief resume of the activities, which provide examples of how you have evidenced the UKPSF holistically across all the dimensions and descriptors.
There must be a minimum of 6 and maximum of 12 contrasting activities, which demonstrate the depth, and breadth of your contribution to teaching and learning. You must reference the relevant dimension of practice A, K, V.
Activity / A1-5 / K1-6 / V1-4
e.g. Designed a module for …… / 1,4,5 / 1,2,3,5,6 / 1,3,4
SECTION THREE Reflections on two Peer Observations ( attach records - additional to word count )
Please reflect briefly in this box the two observations undertaken with reference to how they provide evidence for Descriptor 2. (Suggested 500 words)
Peer Observation 1:
Peer Observation 2:

FHEA Pro-forma Aberystwyth-Bangor Universities’CPD Recognition Scheme

Other information
Please use this space to provide any additional information you would like to submit in support of your application; e.g. activities undertaken in professional or national bodies or subject associations which further develop teaching and learning. Projects undertaken by a group or team are valued as much as individual activities.
SECTION FOUR Referees:
First referee
Name
Job title
Faculty / directorate
Email address
In what capacity can this person comment on your professional practice?
Has this referee undertaken a peer review of your teaching practice?
Second referee
Name
Job title
Faculty / directorate
Email address
In what capacity can this person comment on your professional practice?
Has this referee undertaken a review of your teaching practice?