Unlocking Potential Through Online Learning

Unlocking Potential through Online Learning

Consultant/Supplier - Tutor Application Form

1)Personal details:

Name:
Address:
Telephone:
Email:

2)Qualifications(Start with most recent)

Qualification gained / Date Awarded / Provider

3)Teaching Qualification(Start most recent)

Qualification gained / Date Awarded / Provider

4)Memberships Held (please include committees, IfL, subject associations, learned societies, professional bodies)

Organisation / Grade / From / To

5)Teaching Experience(state level of teaching e.g. Level 1,2,3,4,5 etc.. plus module/unit specialism)

Institution / Position / From / To

6)Current or most recent employment position/contract

Employer / Position / From / To

7)Other Employment Experience

Employer / Position / From / To

8)External Examining

University / College / Faculty / School / Programmes / Dates

9)HE Validation Panel Membership(internal and external)

University / College / Faculty / School / Programmes / Dates

10)Engagement with Other Providers of HE (Please include QAA reviewing and participation in external HE network events)

Description / Dates

11)RSA (Research and Scholarly Activity) Projects (Please include completed and ongoing projects. These may include projects relating to: academic research, public or employer engagement etc. Also include research conducted during recent postgraduate studies)

Description / Dates

12)Publications

Books / Chapters in Books
(Harvard reference)
Journal Articles
(Harvard reference)
Academic Conference Papers
(Harvard reference)

13)Experience of Curriculum Development & Assessment Design

Description / Dates

14)Professional Practice & Commercial Outputs

Description / Dates

15)Recent Industry Updating(include employers linked to your course and any projects that you have been involved with)

Description / Dates

16)Secondments to Industry

Description / Dates

17)Recent Staff Development (Please include both internal and external events which you have attended, organised or presented at).

Title / Date / Provider

18)Personal Statement

In this section please tell us in your own words how you think you are suitable to be considered a Consultant/Supplier Personal On-line Tutor.

In a particular address the following key issues

Description
a)IT/ E-learningskills and experience
a)Ability to work flexibly from home/multiple locations whilst still providing high levels of access and student support
b)Access to modern IT/PC equipment (inc broadband internet connection, webcam, mic, etc)
c)Ability and willingness to engage and complete induction and ongoing personal development and training (both independently and in conjunction with NCG Direct)
d)General – Include any other information you think may be relevant or support your application to become a consultant/supplier to NCG Direct

19)Referees

Please provide the names and addresses of two references contacts, one reference must be from your current or most recent contract or employer.

Contact Name / Company/
Organisation / Occupation / Job Title / Address and Telephone Number
(including e-mail address)

20)Declaration

The information that I have provided is correct to the best of my knowledge and belief and I understand that any false information may lead to any contract being terminated or withdrawn.

Signature Print Name Date

Please note that canvassing, direct or indirect, will result in disqualification.

Please complete this application electronically and return to the Head of NCG Direct at