/

This MS Word version of the online Final Report Form has been made available so that KTP Associates may prepare a draft of the report before submitting it online. It is NOT to be completed and submitted in lieu of the online Final Report Form.

011_000_Final Report Associate v11, May 2015.doc / Page 2 of 13
/

This MS Word version of the online Final Report Form has been made available so that KTP Associates may prepare a draft of the report before submitting it online. It is NOT to be completed and submitted in lieu of the online Final Report Form.

Please complete the following sections as fully as possible.
The information you provide will not be used for purposes other than to support the management of the Knowledge Transfer Partnership programme.

PLEASE SUBMIT THIS FORM BY THE LAST DAY OF YOUR ASSOCIATESHIP

WITH THE PARTNERSHIP.

Failure to submit an Associate Final Report may result in a lower than appropriate Grading of the Knowledge Transfer Partnership as a whole by the Independent Review Panel.

Project Objectives
1.  What were the objectives of your Project (as set out in the KTP Grant Application and Proposal Form)?
No more than 250 words.
2.  If these objectives changed, say whether or not the changes were approved by the LMC and describe the reasons for the changes.
No more than 200 words.
3.  State what you consider to have been the final objectives for your Project to which you were working.
No more than 200 words.
Project Activities
4.  Give an account of your Project describing the main activities, milestones (with dates) and outcomes.
No more than 250 words.
5.  Provide an analysis of changes made to planned activities as your Project progressed, and lessons you learned from the experience.
No more than 250 words.

Project Effectiveness

6.  In the box below give your views on the effectiveness of your Project and how satisfied you are with its outcomes. Please comment on whether you feel the Project made good use of the resources provided by the Company and Knowledge Base partners.

No more than 250 words.

7. How satisfied do you think others involved in your Project are with its outcomes?

/

Extremely Satisfied

/

Very Satisfied

/

Satisfied

/

Dissatisfied

Chairman of the LMC

/ / / /

Company Supervisor

/ / / /

Academic Supervisor

/ / / /

Other members of Project team

/ / / /

Adviser

/ / / /

Others with a stake in the Project objectives

/ / / /

8.  If you believe others involved in your Project may be dissatisfied, please explain how this may have come about.

No more than 100 words.

9.  Describe what additional resources would, in your opinion, need to be deployed in the future to achieve maximum benefit from your Project.

No more than 100 words.

Project Closure

10.  Accurate and complete records and documents relating to your Project should have been prepared to ensure its satisfactory closure. List what documents you have lodged and with whom in connection with your Project.

No more than 200 words.

11.  Describe what training you have provided to staff in the host Company and/or what additionally you have done to ensure that the host Company will be able to take advantage of your project work after its completion.

No more than 200 words.

Publications

12. Give details below of any papers, based on your work during your Associateship, which you have published or intend to publish.

Title

/

Date

/

Reference

/

Type

/

Co-author name

Published/Submitted

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/

Intend to publish

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/
/ / /

<no selection>Refereed journalOther journalConference/seminar proceedingsKTP seminar proceedings

/

Formal Training

13. Give brief details of training courses/activities in which you participated during your Associateship. For each of these, give the duration and describe what you learned. Please include KTP Modules attended.

Training/activity

/

Duration

/

What you learned

14. Enter here the total number of days spent on formal training during your Associateship

/

Academic Qualifications Acquired

15. Did you have a higher degree before you became a KTP Associate?

/

Yes

/ /

No

/

16. Did you register for a higher degree during your Associateship?

/

Yes

/ /

No

/

If you answered ‘Yes’ to question 16 please continue, if ‘No’ move on to question 22.

17. What higher degree did you register for?

/

04 - None07 - PhD03 - MSc02 - MPhil01 - DPhil05 - Other06 - Other mast

If ‘Other’, please specify here

/

18. On what basis was/is it to be achieved?

/

<no selection>03 - KTP Work02 - Other01 - Both

19. How was/is it to be achieved?

/

<no selection>01 - Work-bsd Learning or Negtd Learning Contract02 - Other03 - Thesis04 - Written examination/dissertation

If ‘Other’, please specify here

/

20. Did you complete the higher degree during your Associateship?

/

<no selection>Completed within 6m of starting KTPCompleted within 12m of starting KTPCompleted by end of KTPNot yet completedWithdrew from degree

If you answered ‘Not yet completed’ please continue with Q21. Otherwise move on to question 22.

21. Have you now completed or do you expect to complete the higher degree?

/

Yes

/ /

No

/

If you answered ‘No’, when did you/do you expect to complete the higher degree?

/

<no selection>Completed within 6m of starting KTPCompleted within 12m of starting KTPCompleted by end of KTPNot yet completedWithdrew from degree

NVQ/Diploma in Management

22a. Did you register as a candidate for the NVQ (Level 4) in Management?

/

Yes

/ /

No

/

22b. Did you register as a candidate for the Diploma (Level 5) in Management?

/

Yes

/ /

No

/
23. If you answered ‘No’ above, please state below why not, then move on to question 27.
If ‘Yes’, continue.
No more than 200 words.

24. Whilst being an Associate were you awarded an NVQ (Level 4) or Diploma (Level 5) in Management?

/

Yes

/ /

No

/
25a. FOR NVQ ONLY. If you were not awarded the NVQ, please indicate the Units that were credited to you whilst an Associate.
A2 / B1 / C2 / C5
D2 / E6 / F1 / F3
If there were others enter them here
25d. FOR DIPLOMA ONLY. If you were not awarded the Diploma, please indicate the Assignments you passed whilst an Associate.
Assignment 1 / Assignment 2 / Assignment 3 / Assignment 4
Assignment 5 / If you were only credited specific units enter them here
26. Please comment on the effect that undertaking the NVQ or Diploma in Management had on the development of your management skills and understanding.
No more than 200 words.

27. Do you intend to work towards becoming a Chartered Manager?

/

Yes

/ /

No

/
PROFESSIONAL DEVELOPMENT
28. On registration you gave your professional institution membership before your KTP Associateship as:

Institution

/ (get from tPartnershipAssociateRegistration)

Membership Level

/

(get from tPartnershipAssociateRegistration)

Is this correct?

/

Yes

/ /

No

/
If you answered ‘’No’ please complete question 29, if ‘Yes’ move on to question 30. If you were not a member of a professional institution when you registered move on to question 32.
29. Of what professional Institution were you a member at the time you became a KTP Associate?

<no selection>01 - British Computer Society02 - Chartered Institute of Management07 - Chartered Management Institute04 - IChemE03 - ICivilE05 - Institution of Engineering and Technology06 - IMechE010 - Royal Society of Chemistry09 - OTHER08 - None

If ‘Other’, please specify here

/
What was your level of membership

<no selection>07 - Student02 - Corporate04 - Graduate01 - Associate06 - Other03 - Fellow05 - Member

If ‘Other’, please specify here

/
30. What is your level of membership now?

<no selection>07 - Student02 - Corporate04 - Graduate01 - Associate06 - Other03 - Fellow05 - Member

If ‘Other’, please specify here

/

31. Was the increase in your level of membership mainly due to your KTP work?

/

Yes

/ /

No

/
32. Are you now a member of a professional institution of which you were not a member when you became a KTP Associate?

<no selection>01 - British Computer Society02 - Chartered Institute of Management07 - Chartered Management Institute04 - IChemE03 - ICivilE05 - Institution of Engineering and Technology06 - IMechE010 - Royal Society of Chemistry09 - OTHER08 - None

If ‘Other’, please specify here

/
For all choices other than ‘None’, please continue. If ‘None’, move on to question 38.
33. Please indicate your level of membership.

<no selection>07 - Student02 - Corporate04 - Graduate01 - Associate06 - Other03 - Fellow05 - Member

If ‘Other’, please specify here

/

34. Did you become a member primarily on the basis of your KTP work?

/

Yes

/ /

No

/

35. Did you pursue chartered professional status during your Associateship?

/

Yes

/ /

No

/
If ‘Yes’, please continue. If ‘No’, move on to question 38.

36. Did you achieve chartered professional status during your Associateship?

/

Yes

/ /

No

/

37. If you have not yet achieved it, do you intend to continue?

/

Yes

/ /

No

/
38. Please indicate your final gross annual salary as a KTP Associate.
<no selection>Up to £18,000£18,001-£21,000£21,001-£24,000£24,001-£27,000£27,001-£30,000£30,001-£33,000Over £33,000

39. Have you been offered a job by the host company?

/

Yes

/ /

No

/
40. Please indicate where you intend to work after your Associateship.

<no selection>04 - Host company01 - Other company03 - Education02 - Don't know05 - Other

If ‘Other’, please specify here

/

41. If your future employment is known, what is your new job title?

/
42. Please indicate the starting gross annual starting salary in your new post.
<no selection>Up to £18,000£18,001-£21,000£21,001-£24,000£24,001-£27,000£27,001-£30,000£30,001-£33,000Over £33,000

If not yet agreed, state what you expect it to be paid

/

<no selection>Up to £18,000£18,001-£21,000£21,001-£24,000£24,001-£27,000£27,001-£30,000£30,001-£33,000Over £33,000

/

Views on KTP

43. Please indicate the level at which you feel your KTP experience has helped your professional development.
<no selection>01 - High02 - Low03 - Medium04 - Nil
44. Please indicate the level at which you would recommend KTP to others who might become KTP Associates.
<no selection>01 - High02 - Low03 - Medium04 - Nil
45. How has your experience of involvement in a Knowledge Transfer Partnership matched up to your expectations?
<no selection>01 - Exceeded02 - Fully met03 - Met in the main04 - Partially met05 - Not met at all06 - Don’t know
Please explain in what way it has exceeded or failed to meet your expectations.
No more than 100 words.
46. Please suggest improvements to KTP that you feel would be particularly beneficial. Please also use this space for any general comments you wish to make.
No more than 100 words.

Associate Signature

This Associate Final Report should be submitted at the end of your Associateship. If this is not possible please inform the Final Report Administrator ().
Please enter your name and contact details below, and print and sign the declaration.
Full Name
Please provide your current correspondence address
Address 1
Address 2
Address 3
Town / Postcode
Telephone No. / E-mail address
Future Correspondence
We would very much like to keep in contact with you and continue supporting your professional development by providing you with information and contacts within the KTP community. Are you content for us to do so?
/

Yes

/ /

No

/
IMPORTANT NOTE
A KTP Associate Certificate will be issued to all Associates who have completed at least 75% of their Associateship and
who return THE completed Final Report FORM WITHIN ONE MONTH.
REMEMBER - Failure to submit a Final Report may result in a lower than appropriate grading of the Partnership as a whole by the Independent
Review Panel. It may therefore fall outside the range where
your project could be considered for a KTP Award.
DECLARATION BY ASSOCIATE
Please print and sign this page
I, <Associate name>, declare that the Associate Final Report submitted for Knowledge Transfer Partnership <Partnership Number> on <Date Associate Final Report Submitted>.is an accurate account of the Partnership.
Associate:
Name
Signature
Date
After signing this page, you must provide a copy of it to the KTP Team, at Innovate UK, by one of these methods:
- scan it (pdf format preferred please) and upload it to the portal using the link on the Final
Report page.
- scan it (pdf format preferred please) and email it to
- fax it to 01793 442797.
- send it by post to KTP, Innovate UK, North Star House, North Star Avenue, Swindon,SN2 1UE.
A KTP ASSOCIATE CERTIFICATE WILL BE ISSUED TO ALL ASSOCIATES WHO HAVE COMPLETED AT LEAST 75% OF THEIR ASSOCIATESHIP AND WHO RETURN THE COMPLETED FINAL REPORT FORM WITHIN ONE MONTH.
REMEMBER - FAILURE TO SUBMIT A FINAL REPORT MAY RESULT IN A LOWER THAN APPROPRIATE GRADING OF THE PARTNERSHIP AS A WHOLE BY THE INDEPENDENT REVIEW PANEL. IT MAY THEREFORE FALL OUTSIDE THE RANGE WHERE YOUR PROJECT COULD BE CONSIDERED FOR A KTP AWARD.
011_000_Final Report Associate v11, May 2015.doc / Page 2 of 13