University of Waikato Staff Awards
Teaching 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 selection panel
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 ( For teams with more than two members please attach details on a separate page)
Full name(s):
Department(s):
B A S IS F OR N O MI N A TI O N
Please attach a teaching portfolio of no more than 2,500 words in total (including attachments) for each nominee which
addresses the following headings:
1. Design for Learning
2. Facilitating Learning
3. Assessing Student Learning
4. Evaluating Learning and Teaching
5. Professional Development and Leadership
A NY A D D I T IO NA L C O M ME N TS
I confirm that the nominated individual or team is suitable for an award.
Dean’s name:
Signature:
Date:
Please note that this nomination must be supported and signed by Dean of the nominee’s Faculty/School. Nominees are selected through a
local teaching excellence awards process within each Faculty and School of Māori and Pacific Development.
Teaching Excellence Award Nomination Form - Staff Awards Committee – May 2016
Form SMA01