Collaborative Award for Teaching Excellence

Scheme 2017

NominationForm

Information provided on this form will not be sent to reviewers members but will assist in the administration of the application process. Please consult the ‘Collaborative Awardsfor Teaching Excellence 2017Guidelines for Nominees and Institutions’ before submitting your application. If you have any queries regarding this form, please contact .

Please note that the application must be endorsed by the Vice Chancellor or equivalent of the nominating institution who should complete section five of this nomination form and provide the signed Statement of Support.

This is an interactive form, please double click on tick boxes and under Default Value select ‘checked’.

1.Team Leader details

Please note that the Team Leader may not have a current application in progress for NTFS. If already an NTF this must have been awarded more than three years ago and all award money should have been spent.

Team Leader
Title / First name
Surname / Other name
Job Title
Institution
Department
Address (institution) / Postcode:
Telephone (work) / Mobile
Email
HEA Fellowship
Details / I hold a HEA Fellowship I am working towards HEA Fellowship
Recognition Reference Number: Category:
Date of Recognition: Expected Date of submission:
Category:

2.Team Members

Team Member 2
Title / First name
Surname / Other name
Job Title
Institution
Department
Telephone (work) / Mobile
Email
HEA Fellowship
Details / I hold a HEA Fellowship I am working towards HEA Fellowship
Recognition Reference Number: Category:
Date of Recognition: Expected Date of submission:
Category:
Team Member 3
Title / First name
Surname / Other name
Job Title
Institution
Department
Telephone (work) / Mobile
Email
HEA Fellowship
Details / I hold a HEA Fellowship I am working towards HEA Fellowship
Recognition Reference Number: Category:
Date of Recognition: Expected Date of submission:
Category:
Team Member 4
Title / First name
Surname / Other name
Job Title
Institution
Department
Telephone (work) / Mobile
Email
HEA Fellowship
Details / I hold a HEA Fellowship I am working towards HEA Fellowship
Recognition Reference Number: Category:
Date of Recognition: Expected Date of submission:
Category:
Team Member 5
Title / First name
Surname / Other name
Job Title
Institution
Department
Telephone (work) / Mobile
Email
HEA Fellowship
Details / I hold a HEA Fellowship I am working towards HEA Fellowship
Recognition Reference Number: Category:
Date of Recognition: Expected Date of submission:
Category:
Team Member 6
Title / First name
Surname / Other name
Job Title
Institution
Department
Telephone (work) / Mobile
Email
HEA Fellowship
Details / I hold a HEA Fellowship I am working towards HEA Fellowship
Recognition Reference Number: Category:
Date of Recognition: Expected Date of submission:
Category:

Please add further members as required.

3.Thematic categories

Nominationsareconsideredbyindependent,externalpeerreviewerswhowilljudgenominationsontheinformationsubmittedagainstthecriteria.Noinformationotherthanthecorenominationdocumentssubmittedwillbetakenintoconsideration.

TheHEAwillallocatereviewersusingtheinformation providedbythenominee in the application form to avoid conflicts of interest in the allocation of papers to reviewers.ThereviewerssubmittheirassessmentratingsandcommentstotheHEA which oversees the standardisation of assessment and reports to the UK Teaching Excellence Awards Advisory Panel (the Panel).

Please note the main thematic category covered by the team’s work:

Theme
Assessment and Feedback
Employability
Retention
Staff Development
Students as Partners
Technology and Social Media

4.Publicity consent

It is the responsibility of the Team Leader to inform and gain the consent of any third party contributing information (e.g. quotes, comments) to a nomination in order that the information given may be used in publicity.

Typical publicity will include press releases to national, local and institutional press offices; listing and articles on the National Teaching Fellowship Scheme website; commemorative brochure; poster-boards and slideshow for awards ceremony; and general promotional material for the scheme.

Please inform the Professional Practice team as soon as possible () if there are future changes to the information provided below.

Name of Institution as it should appear on all publicity
If successful in my application for a CATE, I agree tothe information contained above and in my full nomination for CATE and that contained in the personal profile being used for publicity purposes.
If successful in my application for a CATE, I agree to a photograph of the team being:

included in National Teaching Fellowship Scheme 2017 awards dinner publicity materials and brochure;
included in general HEA publications and website;
sent to national and local press offices in response to requests for a photograph of the winner.

THREE PHOTOGRAPHS (MINIMUM 1Mb or 300dpi) MUST BE INCLUDED IN THE FILE SUBMISSION
(In submitting images to the HEA, you are providing consent for the HEA to use your images for promotional purposes or publicity (the “Purpose”). You confirm that you are the owner of any intellectual property rights or have an appropriate licence to share your images with the HEA and for the HEA to use your images for the Purpose.)

5.Team Profile

Please provide a 350 word team profile
This will be used for promotional activity if your team is chosen as a winner.
Brief team makeup – this should give brief details of the team members and their position in the organisation.
Impact of your team’s work -Please provide information drawn from the nomination about the impact of the team’s work in relation to the particular innovative work/pedagogic area/development/activity.
Plans for the future- Please provide information about what the team is planning to do in terms of educational innovation in the future.
Please provide a 50 word summary of this profile. This will be used for promotional activity if you are chosen as a winner.
Please provide up to two statements/quotes (15- 20 words each) which describe the innovative aspects of your team’s work/show impact and relate directly to the profile. These will be used for publicity.
Quote One:
Provided By:
Quote Two:
Provided By:

6.Data Protection Act statements

To be completed by members of the team.

To effectively administer the scheme, the HEA requests your permission to store the details supplied on this form, and the application documentation, in both paper and electronic format.

The HEA is not subject to the provisions of the Freedom of Information Act. However, we are committed to meeting its standards of openness and accountability and aim to deal with requests for information in the spirit of the Act, as far as is reasonable and practical.

The application documents will be distributed to the Panelas part of the assessment process. We reserve the right to release information contained within the application documents to inform future review processes and evaluation activities. Contact details will not be shared with any parties unless members of the team indicatetheir agreement to the statements below.

Each of the following team members (please print names):
agree to the information on this form being shared with the Higher Education Academy.
agree to the information on this form being shared with our employer for the purposes of networking and professional development.
agree that they would like to receive further information about the Higher Education Academy and agree to the details on this form being stored on the HEA’s database for mailing purposes.
agree, to the information on this form being stored in paper and electronic format for use by the Higher Education Academy and any of the statements indicated above.
Signatures*
Date

*Electronic signature will not be accepted

7.Confirmation of institutional support for the Collaborative Award for Teaching Excellence Team

To be completed by the Vice Chancellor or equivalent of the nominating institution. Please complete this confirmation page, print, sign (electronic signature will not be accepted), and include in the submission.

The purpose of this form is to obtain confirmation from your institution that it will support the team if a Collaborative Award for Teaching Excellence is awarded.

I confirm that, should the team be awarded a Collaborative Award for Teaching Excellence, the institution will fully support the team in the conduct of any and all activities associated with the team’s work plan including any time needed to devote to such activities.
Name
Position/institution
Date
Signature*
Name of Team Leader
Contact address / Post code:
Work telephone
Email

*Electronic signature will not be accepted

I confirm that the Higher Education Academy may use this form as confirmation of my support if a Collaborative Award for Teaching Excellenceis awarded

8.Submission and receipt of nominations

The nominationdocumentsmustbe uploaded to the HEA VLE by the NTFS institutional contact (who will have been issued with a VLE username and password) by 12 noon on
10 May 2017. The NTFS institutional contact is acting on behalf of their institution and will be assumed by the HEA to be acting in accordance with the expectations of their senior management when submitting their institution’s nomination.

Documents to include in the submission are:

Claim for CATE
Two pieces of evidence supporting the claim
Dissemination and Impact Plan
Statement of Support
Nomination form – with all sections complete and signed
Three 1Mb or 300dpi images of the teams

Receipt of uploaded nominations will be acknowledged by automatic email to the individual that submitted the application. A nomination should only be considered successfully submitted on receipt of a final confirmation email from the Professional Practice Team. This final email will only be sent after a furthermanual checktoensureall documentsmeet the formattingrequirements. Iftheindividualsubmittingthe nominationhasanyconcerns,theyshouldcontact the Professional PracticeTeam telephone:
01904717500

The CATE is a competition, the reviewer decision confirmed by the Panel is final and no appeals can be made against their decision. The HEA has a complaints process to address issues of fair treatment in the administration of nominations but, as is common in UK HE, will not reconsider the validity of the judgement made by reviewers.