HIGHER EDUCATION COMMISSION

H-9, Islamabad, Phone: (051) 90400814, Fax :( 051) 90400810 E-mail: sbaig@hec.gov.pk

Learning Innovation Division

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MT-FPDP NOMINATION FORM

DEADLINE FOR APPLICATION March 15, 2012 APPLICATION PROCEDURE You are encouraged to begin the process and send your application as early as possible. Only complete applications are reviewed by the Competent Committee. The selection process seeks to maintain comparable ability and experience to ensure diversity. Program will commence from March 27, 2012 at Learning Innovation Division, HEC, Islamabad. Only complete applications will be reviewed by the Selection Committee.
Nominees Name: Date of birth (dd/mm/yy) Marital Status: Years of teaching experience: Designation Title: University Name: Department Name: University complete Address: Home Address: City: City Code: Please indicate your level of competence in English by circling below: Poor Good Very Good Excellent Please indicate your level of computing skills by circling below: Poor Education Sr.# Degree Field of Study Board/University Division/Grade Good Very Good Excellent Province: Telephone: Gender: Female Age: Age of Youngest Child: Cell No: NIC No: E-Mail: Fax: Nominees Mailing Address (if different): Male

Work Experience

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Organization/Institution

Designation

Duration

PROGRAM MODULES
Following are the academic modules of Master Trainer Faculty Professional Series of orientation/awareness lectures/seminars will be given on HEC policy guidelines relating to the and following: Learning Innovation Division, HEC Digital Library HEC Scholarships Quality Assurance / Anti Plagiarism Policy of HEC The addition of some of these components is subject to the availability of time. Additional Component Project Management Entrepreneurship Civic Education in Pakistan Ideological- Foundations of Pakistan Comparative Religions/ Muslim Family Law Pakistani Art & Culture How to win research grant & Writing Research Proposal Specify any other component/ topic that you think should be included in Program: i. ii. iii. iv. Moral & Ethical standards in education Development Program: Teaching as a Profession Academic Management Curriculum Learners Psychology Androgogical Skills (Microteaching) Communication Skills Research Methods and Skills Competent Information Designing that Last Professional Grooming (English) & Language Usage Essential (CLUE) Communication Intervention Technology (ICT) & E-Learning Learning Development, Assessment & Evaluation Planning Lectures/Seminar related to HEC

List of Training/Workshops attended previously: 1. 2. 3. 4. Have you attended any training previously related to this course: 1. 2. 3. 4. What are your expectations from this program? What steps has your institutions taken towards capacity building of Faculty Members? What are some of the challenges and issues that you and your fellow members are facing pertaining to this area? For Official Correspondence:

Registrar Name: Phone No: Email Address: Fax No:

Nominees Signature: (I will notify the MT-FPDP Representative if I am unable to attend.)

ATTESTATION BY THE HEAD OF INSTITUTION (If this section is not completed or without a signature, the nomination will be considered ineligible and will not be processed): 1. All the particulars provided in this application are genuine and correct. 2. The nominee will be considered on duty during the Program and Learning Innovation Division (HEC) will not entertain any request to address call of duty from the Parent Institution, once nominated for the course 3. The nominated member is medically fit and has no health issue that can hinder his/her performance during the Program. 4. 90% attendance is mandatory for completion of the program Name / Title of Head (VC/Registrar) : __________________ Signature: _________________ Date: __________________ Stamp of the Attesting Authority: _____________________

Authorized Stamp of the Institution

IMPORTANT: Please photocopy the form for more than one nomination. The form completed in all respects should reach on or before March 15, 2012 to: Muhammad Shabbir Baig Deputy Director ( Learning Innovation Division) Higher Education Commission H-8, Islamabad