Candidate Name:

School:

UNIVERSITY COLLEGE DUBLIN
PromotiontoAssociate Professor 2012/13
Application Form
This application form has been designed to elicit the information required by the College Committee and the UCAATP) to assess each candidate for promotion.
Please do not include any additional documents with your application form. Expand all boxes and tables as needed, observing maximum lengths / word counts where stipulated.
Candidates should read the Promotion to Associate Professor 2012/13 Policy prior to completing this form.

1.GROUNDS FOR PROMOTION

Please indicate whichOneof the following criteria you wish to give extra weight to:

Research, Scholarship & Innovation
Teaching and Learning

2.AREA OF RESEARCH, SCHOLARSHIP & INNOVATION

Please indicate in this section of the form your specific area of research.

3.STATEMENT OF APPLICATION

In the Statement of Application you should set out the specific criterion (Research, Scholarship & Innovation or Teaching and Learning) to which extra weight is given.

Please state the principal reasons why you consider that promotion is merited and highlight your main achievements, paying particular attention to those achievements since your last promotion/appointment.

(This Statement must not exceed two A4 pages (no less than font size 10) and should be structured under the following headings):

  • Grounds for Promotions(giving the principal reasons why you consider that promotion is merited)
  • Achievements since last promotion as a basis for promotion
  • Other reasons

4.RESEARCH, SCHOLARSHIP & INNOVATION

In this section please summarise your research, scholarship & innovation achievements.

You should also supply quantifiable information, for example the number of PhDs/Research Masters supervised to completion and the number ofresearch grants and awards received. (This Statement should reference the indicative evidence outlined in Appendix A of the procedures)

(a)Overall achievements(Max 1 page)

(b) Achievements since last promotion/appointment(Max 1 page)

(c) List yourtop ten refereed publications in order of importance where available.
Where appropriate, EITHER include impact factors, number of citations, ranking of the publication in the field and the source of this data OR where impact and citation data are not appropriate or available, provide alternative evidence regarding the quality and impact of each publication.

Publications / Quality and Impact / Alternative Evidence
1 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
2 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
3 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
4 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
5 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
6 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
7 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
8 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
9 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source
10 / Impact Factor:
Citation Count:
Give source:
Rank:
Field:
Give source

(d)Research Funding and AwardsPlease list competitive peer-reviewed research funding awarded(Add rows as required)

Awarding Authority / Total Amount / Principal Candidate(P) or Co-Candidate (C) / Total Amount to UCD / Total Amount to Candidate / Date of Award / Peer Review
YES/NO

(e)Research Postgraduate Students Supervised to Completion

PhDs or equivalent doctoral degrees:

(PLEASE LIST ONLY THOSE STUDENTS FOR WHOM YOU WERE THE PRINCIPAL SUPERVISOR)
(Add rows as required)

Name of Student / Research Degree / Date of initial registration / Date of Award of PhD / Please estimate your percentage contribution to the supervision of the student

Research Masters:

(PLEASE LIST ONLY THOSE STUDENTS FOR WHOM YOU WERE THE PRINCIPAL SUPERVISOR)
(Add rows as required)

Name of Student / Research Degree / Date of initial registration / Date of Award of Masters / Please estimate your percentage contribution to the supervision of the student

Research Postgraduate Students currently supervised

(PLEASE LIST ONLY THOSE STUDENTS FOR WHOM YOU ARE THE PRINCIPAL SUPERVISOR)
(Add rows as required)

Name of Student / Research Degree / Date of initial registration / Anticipated completion date / Please estimate your percentage contribution to the supervision of the student

Other Research Postgraduate Supervision

(INCLUDE HERE ALL CONTRIBUTIONS TO RESEARCH POSTGRADUATE SUPERVISION NOT LISTED ABOVE)
(Add rows as required)

Name of Student / Research Degree / Date of initial registration / Completion date / Please estimate your percentage contribution to the supervision of the student

Postdoctoral Researchers supervised

Name of Student / Research Degree / Date of initial registration / Completion date / Please estimate your percentage contribution to the supervision of the student

5.TEACHING AND LEARNING

In this section of the form you should outline your achievements in the application of scholarship of teaching and learning and/or pedagogical innovation within your discipline. Evidence[1] supporting your application will be provided through your online teaching profile and in this section. See Section 10 – Method of Application in the Policy for Promotion to Associate Professor document for information on the Teaching Profile. You should also include some quantifiable information in relation to the number of students taught in the last year.

(Your Teaching Profile, submitted with your application, should complement and support the material presented in this section of the form)

(a) Please outline, backed up by evidence, how you have enhanced your own Teaching (max 1 page)

(b) Please outline, with appropriate evidence, your achievements in educational enhancement and curriculum reform (max 1 page)

(c)Please outline how you have developed as a Teacher. Include a commentary on how you have responded to Student Feedback (max 1 page)

(d) Outline of your contribution to innovation and leaderships in Teaching & Learning, institutionally, nationally and internationally (max 1 page)

6.ACADEMIC LEADERSHIP

In this section of the form you should outline in detail your academic leadership achievements, under the following headings. (This Statement should reference the indicative evidence outlined in Appendix A of the Policy for Promotion to Associate Professor 2012/13 Policy.)

(b) Academic Leadership Achievements at School/Institute level(Max 300 words)

(c) Academic Leadership Achievements at College level (Max 300 words)

(d) Academic Leadership Achievements at University level (Max 300 words)

(e) Academic Leadership Achievements at National level (Max 300 words)

(f) Academic Leadership Achievements at International level(Max 300 words)

  1. CONTRIBUTIONTO SCHOOL/COLLEGE/UNIVERSITY/SOCIETY/WIDER COMMUNITY
    In this section of the form you should outline in detail, your contribution to the University and the wider community.

(a) Contribution to School/Institute (Max 300 words)

(b) Contribution to College (Max 300 words)

(c) Contribution to the University(Max 300 words)

(d) Contribution to the Wider Community(Max 300 words)

  1. PERSONAL CAREER PLAN

In this section of the form you should indicate the strategy, trajectory and goals you plan to achieve during the next five years and/or the balance of your career at UCD. This plan should include anticipated funding (if any) and should relate to the School/College/University Strategic Plan where appropriate

(a) Research & Scholarship (Max 300 words)

(b) Graduate Supervision (Max 300 words)

(c) Collaboration (Max 300 words)

(d) Funding (Max 300 words)

(e) Teaching & Learning (Max 300 words)

(f) Academic Leadership (Max 300 words)

(g) Contribution within the University & the Wider Community (Max 300 words)

(h) Additional Information (Max 300 words)

  1. EXTERNAL ASSESSORS

You are required to identify an expert advisor who is a leading academic at the level of full Professor in a leading university outside Ireland. Please refer to Section 8 of the Policy for Promotion to Associate Professor 2012/13

Name of Expert Advisor(please provide full name including title):
Field of Research:
Name of University/Institution:
Contract Details
E-Mail address:
Telephone number:

10. OTHER RELEVANT INFORMATION

Any other information you consider relevant which is not covered in other sections of the application form. This Statement should not exceed one A4 page.

The evidence provided is complete and accurate and I hereby authorise the University to verify if necessary, any or all of the statements made on this application.

Name of Candidate:

Signature of Candidate:

Date:

Please ensure that the application form is signed by you prior to uploading on the ESS system. Applications submitted without a signature will not be accepted.

Approved by UCAATP December 2012

[1]By evidence based is meant the self-certified & verifiable information contained in the application form and teaching profile. It does not require the attachment of additional illustrative documents outside the confines of the application form and teaching profile.