2014 TEACHING NOMINATION FORM Individual nomination Team nomination Tick () one box Contact details (for nominee or team representative) Title First and last name Department/ School/ Faculty Campus Email address Telephone Position title Staff type () Academic staff General staff □ □ Gender () Female Male □ □ Categories Nominate one category, see Guidelines for description. Nominees teaching in new or areas should select the category they consider most appropriate. Tick () box Biological Sciences, Health and Related Studies (including Agriculture, Animal Husbandry, Medicine, Nursing etc) Early Career Humanities and the Arts Law, Economics, Business and Related Studies Indigenous Education Physical Sciences and Related Studies (including Architecture, Building & Planning, Engineering, Computing & Information Science) Social Sciences (including Education) Priority Area 2014 - High impact strategies for progression, retention and attainment team nominations (Please list all members if more than five, a separate list may be attached) – Gender Staff type Title First and last name (F/M)* (A/G)*
2014 TEACHING NOMINATION FORM Individual nomination Team nomination Tick () one box Contact details (for nominee or team representative) Title First and last name Department/ School/ Faculty Campus Email address Telephone Position title Staff type () □ Academic staff □ General staff Gender () □ Female □ Male Categories Nominate one category, see Guidelines for description. Nominees teaching in new or areas should select the category they consider most appropriate. Tick () box Biological Sciences, Health and Related Studies (including Agriculture, Animal Husbandry, Medicine, Nursing etc) Early Career Humanities and the Arts Law, Economics, Business and Related Studies Indigenous Education Physical Sciences and Related Studies (including Architecture, Building & Planning, Engineering, Computing & Information Science) Social Sciences (including Education) Priority Area 2014 - High impact strategies for progression, retention and attainment team nominations (Please list all members – if more than five, a separate list may be attached) Title First and last name Gender (F/M)* Staff type (A/G)*
2014_EITA_Teaching_Excellence_nomination_form.docx