subject_line
SLA Nomination Form 2018-19
Lecturer Details & Aims of Participating in the SLA Programme
Name of Lecturer
*
Role
*
Email Address:
*
What do you hope to achieve by having SLAs in your module or programme?
*
Which year will they be supporting?
*
Foundation Year
1st Year
2nd Year
3rd year
Other
Other
When will you be using your SLAs?
*
September Start
January Start
Other
Other
How often are you planning to use your SLAs?
*
Weekly
Fortnightly
Monthly
During Revisions
Only for Specific Projects
Other (please specify)
Other (please specify)
Programmes, Module Codes and Nominated Students
Please state if your SLAs will be?
*
Programme Based
Module Based
Programme Title
Module Code 1
Module Title 1
Given that 1 SLA can only work 6 hours per week please specify how many SLAs and/or SLA hours you require? (eg. 1 SLA x 6hrs; 1 SLA x 3hrs; 2 SLAs x4 hrs each; 3 SLAs x 3hrs each, etc)
*
In what learning enviroments will your SLAs be based?
*
Workshops
Seminars
Labs
Studio
Out of class Sessions
Drop-in Sessions
Other
Other
Please state a Core Module Code supported by the SLAs, so that they can access their CPD
*
Please give us the names of the students you would like to nominate:
Student Number
First Name
Last Name
University Email
1
Student Number
First Name
Last Name
University Email
2
Student Number
First Name
Last Name
University Email
3
Student Number
First Name
Last Name
University Email
4
Student Number
First Name
Last Name
University Email
5
Student Number
First Name
Last Name
University Email
6
Student Number
First Name
Last Name
University Email
Would you like to add more names?
Yes
No
Please give us the names of the students you would like to nominate:
Student Number
First Name
Last Name
University Email
1
Student Number
First Name
Last Name
University Email
2
Student Number
First Name
Last Name
University Email
3
Student Number
First Name
Last Name
University Email
4
Student Number
First Name
Last Name
University Email
5
Student Number
First Name
Last Name
University Email
6
Student Number
First Name
Last Name
University Email
7
Student Number
First Name
Last Name
University Email
8
Student Number
First Name
Last Name
University Email
9
Student Number
First Name
Last Name
University Email
10
Student Number
First Name
Last Name
University Email
Comments
Would you like to add a second module?
Yes
No
Nominations - Module 2
Programme Title
Module Code 2
Module Title 2
Given that 1 SLA can only work 6 hours per week please specify how many SLAs and/or SLA hours you require? (eg. 1 SLA x 6hrs; 1 SLA x 3hrs; 2 SLAs x4 hrs each; 3 SLAs x 3hrs each, etc)
*
In what learning enviroments will your SLAs be based?
*
Workshops
Seminars
Labs
Studio
Out of class Sessions
Drop-in Sessions
Other
Other
Please give us the names of the students you would like to nominate:
Student Number
First Name
Last Name
University Email
1
Student Number
First Name
Last Name
University Email
2
Student Number
First Name
Last Name
University Email
3
Student Number
First Name
Last Name
University Email
4
Student Number
First Name
Last Name
University Email
5
Student Number
First Name
Last Name
University Email
6
Student Number
First Name
Last Name
University Email
Comments (Module 2)
Would you like to add a third module?
Yes
No
Nominations - Module 3
Programme Title
Module Code 3
Module Title 3
Given that 1 SLA can only work 6 hours per week please specify how many SLAs and/or SLA hours you require? (eg. 1 SLA x 6hrs; 1 SLA x 3hrs; 2 SLAs x4 hrs each; 3 SLAs x 3hrs each, etc)
*
In what learning enviroments will your SLAs be based?
*
Workshops
Seminars
Labs
Studio
Out of class Sessions
Drop-in Sessions
Other
Other
Please give us the names of the students you would like to nominate:
Student Number
First Name
Last Name
University Email
1
Student Number
First Name
Last Name
University Email
2
Student Number
First Name
Last Name
University Email
3
Student Number
First Name
Last Name
University Email
4
Student Number
First Name
Last Name
University Email
5
Student Number
First Name
Last Name
University Email
6
Student Number
First Name
Last Name
University Email
Comments (Module 3)
Would you like to add a fourth module?
Yes
No
Nominations - Module 4
Programme Title
Module Code 4
Module Title 4
Given that 1 SLA can only work 6 hours per week please specify how many SLAs and/or SLA hours you require? eg. 1 SLA x 6hrs; 1 SLA x 3hrs; 2 SLAs x4 hrs each; 3 SLAs x 3hrs each, etc)
*
In what learning enviroments will your SLAs be based?
*
Workshops
Seminars
Labs
Studio
Out of class Sessions
Drop-in Sessions
Other
Other
Please give us the names of the students you would like to nominate:
Student Number
First Name
Last Name
University Email
1
Student Number
First Name
Last Name
University Email
2
Student Number
First Name
Last Name
University Email
3
Student Number
First Name
Last Name
University Email
4
Student Number
First Name
Last Name
University Email
5
Student Number
First Name
Last Name
University Email
6
Student Number
First Name
Last Name
University Email
Comments (Module 4)
Would you like to add a fifth module?
Yes
No
Nominations - Module 5
Programme Title
Module Code 5
Module Title 5
Given that 1 SLA can only work 6 hours per week please specify how many SLAs and/or SLA hours you require? (eg. 1 SLA x 6hrs; 1 SLA x 3hrs; 2 SLAs x4 hrs each; 3 SLAs x 3hrs each, etc)
*
In what learning enviroments will your SLAs be based?
*
Workshops
Seminars
Labs
Studio
Out of class Sessions
Drop-in Sessions
Other
Other
Please give us the names of the students you would like to nominate:
Student Number
First Name
Last Name
University Email
1
Student Number
First Name
Last Name
University Email
2
Student Number
First Name
Last Name
University Email
3
Student Number
First Name
Last Name
University Email
4
Student Number
First Name
Last Name
University Email
5
Student Number
First Name
Last Name
University Email
6
Student Number
First Name
Last Name
University Email
Comments (Module 5)
We would like your support with SLA Observations. Details and support will be provided. Please state if you are available to help:
*
Yes
No
Please note that the final SLA Training (2018-19) is scheduled for October 19th, 2018.
Thank you! Nominations have been extended to
Friday, October 12th 2018.
Please submit your nomination form by clicking on the 'Submit' button below.