UNIVERSITY COLLEGE DUBLIN ACADEMIC PROGRESSION APPLICATION FORM PROGRESSION FROM

GUIDELINES:

• This form can be used to apply for Academic progression from Lecturer (below the bar) to Lecturer (above the bar).

• A copy of your CV should be attached to this Application Form.

• Completed forms should be submitted to your Head of School.

PART A – STAFF MEMBER INFORMATION

Name:

Staff (P) Number:

School:

College:

Extension:

Email:

Confirm if you been awarded Tenure:

Date Tenure was awarded (if applicable):

PART B – THIRD LEVEL EDUCATION AND ACADEMIC AWARDS

University

Degrees/Diplomas/Qualifications

Year of Award

PART C – DETAILS OF APPOINTMENTS AND LEAVE

Current Post in UCD

From

To

Previous Posts in UCD

From

To

Appointments prior to UCD

From

To

Details of all Leaves (incl Career Breaks or Research Leave)

From

To

PART D – PLEASE DETAIL YOUR PROGRESS TO DATE UNDER THE FOLLOWING HEADINGS

Research and Scholarship

Teaching and Learning

Contribution to the School

PART E – DECLARATION

To the best of my knowledge, the evidence provided is complete and accurate and I hereby authorise the University to verify if necessary, any or all of the statements made on this application.

Signed:

Date: