University of Waikato Staff Awards
Nola Campbell Memorial eLearning Excellence Award
Nomination Form
Please use this form for all nominations, to ensure as far as possible that full and systematic consideration can be given by the Staff Awards
Committee to all nominations. Please use a separate form for each nomination and attach additional information as required. Forward the
completed form to Mike Bell, Professional and Organisational Development Unit, no later than the last Friday in October.
N O MI N EE D ET A I L S
Full name(s):
Total years of teaching experience:
Department(s):
Years on staff at the University of Waikato:
N O MI NA TO R D E TA I LS
Please note that two nominators are required (you can list additional supporters in the OTHER SUPPORT section)
Name:
Department:
Name:
Department:
B A S IS F OR N O MI N A TI O N
Please provide a portfolio of supporting evidence and reflection addressing each area below in no more than 2500 words in total and attach it to
this form.
1
Application of technology
Please provide evidence that:
 the nominee is using learning technologies for exemplary teaching
 the nominee understands the affordances of learning technologies
 the use and choice of technology is being integrated within the overall course design
 the use and choice of technology is being aligned with learning outcomes and graduate
attributes
 learning technologies are being used to enable and enhance learning
2
Supporting learners
Please provide evidence that:
 the use of learning technology empowers learners to modify their learning practices to
effectively utilise technology
 there is an understanding of the varied needs of learners and attempt to meet them when
using learning technology
3
Professional development
Please provide evidence that the nominee:
 engages in reflective practice in the use of eLearning
 promotes and develops eLearning within our University and the wider community
 demonstrates commitment to innovate and engage with emerging practice
C O NT EX T UA L FA C TOR S
Please provide information about the nominee’s eLearning commitments
Nola Campbell Memorial eLearning Excellence Award Nomination Form - Staff Awards Committee – September 2016
Form SMA04
University of Waikato Staff Awards
Nola Campbell Memorial eLearning Excellence Award Nomination Form
OT H ER S U PP OR T
Please provide details of others who have been consulted and who support this nomination
I confirm that the nominated individual or team is suitable for an award.
Manager’s name:
Signature:
Date:
Please note that this nomination must be supported and signed by the relevant Dean. The evidence provided in support of this nomination will
be used to select a Nola Campbell Memorial eLearning Excellence Award recipient.
Nola Campbell Memorial eLearning Excellence Award Nomination Form - Staff Awards Committee – September 2016
Form SMA04
A