APPLICATION FOR THE AWARD OF AN ADDITIONAL INCREMENT OR CONTRIBUTION POINT

SECTION A

Details of individual submitted for award

School/Department/Research Institute:-

Title

/

Forename

/

Surname

Job Title

Grade

/

Point

/

Current FTE

/ /

Previous FTEs (during last 5 years only)

/

Please provide dates only of any periods of absence within your CV. Specific reasons for absence are not required

/

SECTION B

LINE MANAGER’S STATEMENT

I am applying for an Additional Increment a Contribution Point for the above on the basis of exceptionality in

Learning & Teaching - POMA - Research & Enterprise (Please circle type of award and relevant criteria/criterion).

With reference to the guidance in the procedure, please provide below a statement which clearly states:-

·  What is expected of a member of staff of the candidate’s grade in his/her School/Research Institute
·  With reference to the relevant criterion/criteria, how the member of staff’s performance is exceptional for (ie beyond that of a member of staff in his/her grade)
·  Confirmation that the member of staff is performing satisfactorily in the areas where exceptionality is not claimed
·  An assurance that the exceptionality is not only sustainable but that there is the opportunity and full expectation that this will continue for the foreseeable future.
Where the case is being put forward under exceptionality in Research & Enterprise, the case should also state:
·  How much time the individual has been allocated to do research.
·  What targets have been set and how the individual has performed against them,
·  What development-type support has been given to the candidate and
·  An evaluation of the individual’s future input into the School/Research Institute.
Inclusive of your statement, this entire form (Sections A, B and C) should not be more than 2 sides of A4
SECTION CSUBMISSION CHECKLIST AND SIGN-OFF
Please supply 1 hard copy and electronic versions (on a memory stick or CD) of the following documents:
·  a completed MA (A) form
·  a CV in the required format
·  a Grant Information List (where relevant) in required format
·  a Publications List (where relevant) in required format
Signed:______Date:______
Head of School/Research Institute Director/Faculty Research Director
Signed:______Date:______
Dean of Faculty/Directorate Director