MPRT application form

Required fields are marked with an asterisk (*).

Applicant details

Title Example: Dr, Associate Professor, Professor.

Name *

Surname *

Faculty *

-- Please Select --Architecture, Building and PlanningArtsBusiness and EconomicsEducationEngineering and Information TechnologyFine Arts and MusicLawMedicine, Dentistry and Health SciencesScience Other

Department/School * e.g. School of Government, Melbourne Medical School

Email address * Please use your University of Melbourne email address

Work focus *

-- Please Select --Education-focusedEducation & ResearchOther

If other, please specify

Academic appointment level *

-- Please Select --Level ALevel BLevel CLevel DLevel E

Have you been a reviewee within the last three years in your Faculty/School peer review program? *

• Yes
• No

Are you planning to apply for promotion or confirmation in the next 12 months?

• Yes
• No

If yes, please provide the expected application date:

Details of the subject you wish to be observed

Subject title *

Number of students enrolled *

What is your role in the subject? *

Delivery format *

• Lectures
• Tutorials
• Practicals
• Workshops
• Studious
• Seminars
• Online
• Other

Any additional comments on the nature of your current teaching, including details of the subjects in which you teach, their level and the courses they sit within, and your role. (100 words max.)

Additional information

Your teaching will be evaluated in relation to the first three dimensions of the University of Melbourne's Framework for Educational Excellence and one other dimension of your choosing. Please select one from the list below *

(First three dimensions of the FEE: 1. Well-designed and engaging learning experiences; 2. Evidence-based and inclusive teaching practices; 3. Effective assessment and feedback)

• Guidance and support inside and outside the classroom
• Integration of scholarship and professional practice into teaching and learning
• Continuous improvement and professional development
• Educational collaboration, leadership and commitment to dissemination

In addition, is there a particular aspect of your teaching which you would like the review panel to evaluate? Please elaborate

Optional: Reviewer exclusion (confidential)

If your application is successful, you will be reviewed by two experts from the College of Reviewers outside your department/school. You can request that a particular reviewer not be assigned to you. Name of reviewer to be excluded:

Document upload [Note: Subject/Curriculum Outline can be sent separately via email once review panel is confirmed]

Response to the Framework for Educational Excellence * See guidelines

A copy of your CV *

Subject/Curriculum Outline For the subject being reviewed