Section A Outside Insight Application to Shadow a Role
If you wish to participate in this work shadowing scheme please complete this
application form. Please ensure you discuss your request with your line manager
or equivalent prior to completing your application.
INSTRUCTIONS: Refer to Application Guidelines for completion. Return a signed hard
copy of section A and B to the designated co-ordinator in your institution. Visit the
Outside Insight website at http://heioutsideinsight.co.uk/ for information.
first name
last name
university
job title
email
direct line
Main purpose of your current role and/or key tasks:
Research or Administration and Professional Services Role – please delete as appropriate
Work shadowing objectives: i.e. What would you like to gain from the visit?
What would be your ideal role to shadow?
How long would you like to shadow the role for? (½ day up to 2 days maximum)
½ day
½ day
1 day
2 days
am
pm
Dates of availability for you to do the shadowing (allowing lead in time)
Do you have any additional requirements?
Ideally, which of these HEIs would you prefer to visit?
*Greenwich
London
School of
Hygiene
and Tropical
Medicine
*South
Bank
*Hertfordshire
*Imperial
*Kingston
*Regent’s
Roehampton
Royal
Holloway
*SOAS
*University of
London
*Institutions participating for Research staff
Please identify your first and second choice of institutions to visit.
If you were unable to visit your first two choices would you be happy to visit any
of the other institutions:
yes
no
Would you be willing to have your own role shadowed?
yes
no
ask me later
Section B Outside Insight Application to Shadow a Role
Declaration by person wishing to shadow:






I confirm that I have read and agree with the Outside Insight Guidelines
I will abide by the terms and conditions agreed between my institution and the
host institution
I will complete all evaluation required of me post visit
I understand that whilst every effort will be made to accommodate my preference
with regard to an institution to visit, this cannot be guaranteed during the current
round of work shadowing
I understand that a more suitable role may be found for me to be matched with
within one of the institutions not selected as a preferred institution to visit
I will abide by the Confidentiality and Equality Policies of the host institution
signature:
date:
Your line manager’s/ Contact at Institution details:
name
job title
university
department
email
direct line
Declaration by line manager/ Contact at Institution:


As line manager/Contact at Institution of the above member of staff, I confirm that
I support this application to shadow a role in one of the participating HE
institutions.
Following the visit I will provide ongoing support to the person wishing to shadow.
https://www.vitae.ac.uk/researchers-professional-development/about-the-vitae-researcher-developmentframework
signature:
date:
OUTSIDE INSIGHT OFFICE USE:
Processed by designated co-ordinator
for this university:
Date application form received:
name:
date:
Processed by designated
representative for host university:
Date application approved by host:
name:
date:
Action(s) taken:
Return signed hard copy of section A and B to your designated representative