Teaching Partnership Awards for Students: application form

Application Form 2018: Group

This form should be used for group applications only. A group is defined at having two or more members, up to a maximum of four members in total. A separate form is available for an application by an individual.

The case for an award (Section B) should not exceed 1,000 words in total. The boxes will expand to accommodate your text.

A:Group details

Members of the group must be current undergraduate or postgraduate students of the University of Leicester at the point of the application deadline date.

All members of the group should be listed below. The first named group member will be considered the lead contact for feedback associated with this application.

Student Number / Name / Course/degree
(e.g. BA English or PhD) / Department / Email
@student.
le.ac.uk
1 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
2 / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
3* / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /
4* / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text. /

* if applicable

B:The case for award of a Teaching Partnership Award (maximum 1,000 words in total)

Summary(maximum 150 words)
Click here to enter text. /

You can base your case for a Teaching Partnership Award on one or both of the twocriteria below:

1. Supporting other students and influencing their learning:
Click here to enter text. /
2. Commitment to your own development of teaching, learning and/or learning support skillsthrough evidence of review and enhancement of your individual practice as a teacher:
Click here to enter text. /
Word count (section B only)[1] / Click here to enter text. /

C:Referees

Details of two referees, who will be contacted to support the group’s claim for the award. These should be members of staff of the University (and,if your case involves teaching in a department(s), members of academic staff) or officers of the Students’ Union (including sabbatical officers)
Referee 1 / Referee 2
Name: / Click here to enter text. / Click here to enter text. /
Position: / Click here to enter text. / Click here to enter text. /
Department/Office: / Click here to enter text. / Click here to enter text. /
Email: / Click here to enter text. / Click here to enter text. /

D: Declarations:

Please click on the box to confirm group members’ agreement. Applications are unable to be accepted for consideration if the box is left blank.
☐ /
  1. We confirm that the claims we are making in this application are accurate and true to the best of our knowledge.
  2. All members of our group have approved the final version of this application for submission.
  3. We confirm that the referees we have named above have given their consent to support this application if requested to do so.

Submission

First named group member: Please submit this form using your University email account to:Secretary to the Teaching Partnership Awards Panel (),byFriday 4 May2018at 12 noon.
Copy the remaining members of the group into the email.Applications submitted after thedeadline will be unable to be considered.

[1] The form when blank contains 579words.