University of Oxford Staff Learning Scheme: application form to head of department (for courses run by other departments or by external bodies)
This form is for the use of individuals applying for funding under the Staff Learning Scheme, except for those who are applying for funding to undertake a course (including a DPhil) in the department in which they are employed. Another form is available for this purpose at
The form should be downloaded, completed and sent to your head of department.If you would like advice on any aspect of applying for funding, or on what courses might be covered by these arrangements, contact your departmental administrator or theProfessional Development Administrator.
1.Name of individual applicant
2.Job title
3.Contact details
4.Name of course or other activity
5.Course provider
/ University departmentExternal provider
6.Start date (this must be at least 4 weeks after the date of the funding application)
7.Web reference of course and provider (if available)
8.Summary of course content
9.Fee for year 1 of course
10.Estimated fee for length of course (if different)
11.Total amount requested from department in year 1
12.Total amount requested for length of course (if different)
Rationale for the funding requestPlease include:- how the course will help you to develop within the role and be of broader benefit to the department; or how it will enable you to acquire new skills and deal with changes in responsibilities or a new role within or outside the University
- why a free internal course is not available or suitable
- an account of the operational implications of your undertaking the course and what discussions you have had with your line manager about these
- how you will share the learning from the course with colleagues, where possible and appropriate
I confirm that my primary current role is as a member of staff of the University of Oxford.
Date
Signature
Head of Department use only
If you have approved the request for funding and the course is one run by the University (including departments other than your own), please complete the ‘amount payable’ boxes below and send a copy of the whole form, including this page, to Application for Staff Learning Scheme, Student Data Management and Analysis, University Offices, Wellington Square, or by email .If you have approved the request for funding and the course is one run by an organisation outside the University, please complete the ‘amount payable’ boxes below and send a copy of the whole form, including this page, to the Professional Development Administrator, Oxford Learning Institute, Littlegate House, St Ebbe’s Street, or by email to .