2012 ALT Learning Technologist of the Year Award - Entry Form
ALT 2012 Learning Technologist of the Year Award – up to 6 prizes to be won by teams and individuals.
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About the award
Extended deadline for entries is midday (BST) on Wednesday, 30 May 2012.

The Award's overall purpose is to celebrate and reward excellent practice and outstanding achievement in the learning technology field. The award is open to individuals and teams based anywhere in the UK.

The award will be judged by a panel chaired by Gilly Salmon, President of ALT. The panel is:

-    Eddie Erasmus - representing last year's team winner (In-Folio Implementation Team based on JISC Techdis, The Rix Centre, St Piers College, Young Epilepsy, Portland College and National Star College, UK.);
-    John McLaughlin - Department for Business, Innovation & Skills, where responsible for policy on Learning Technologies and other uses of ICT in further and higher education;
-    Oliver Quinlan - one of last year's individual winners (from Robin Hood Primary School, South Birmingham, UK, but now Lecturer in Education at Plymouth University.);
-    Clive Shepherd – Since 1997 he has operated as an independent consultant for UK and international public, private and third sector organisations. He was recognised for his Outstanding Contribution to the Training Industry at the World of Learning Conference in 2004 and for four years was Chairman of the eLearning Network.
How to enter
1. We have provided a template to help you write your entry. Download at http://goo.gl/qrdM8.
2. Complete all sections of the template, taking careful account of the stated word limits and any other requirements.
3. Save the template locally, including your full name (or the name of your team) in the file name.
4. Once you have completed the template you will need to copy and paste each section of your entry into the fields provided in this form. You will also be asked to enter the filename of your completed entry template. [We ask for this as a back-up, in case for any reason some aspect of the form submission process fails.]

The extended closing date for entries is midday (BST) on Wednesday, 30 May 2012. All entries will be acknowledged, and if you have not received an acknowledgement within 2 working days, please follow things up by email to lt2012@alt.ac.uk.

The award homepage and rubric are at http://www.alt.ac.uk/get-involved/awards 

Answers to some frequently asked questions about the award can be found at http://www.alt.ac.uk/LT2012-FAQs

In case of difficulty, email lt2012@alt.ac.uk and we will do our best to help.

The URL of this form is http://goo.gl/mHeeg
Entry form
1. Is this an entry for the team or individual award? *
Required
2. Name of entrant *
If an individual entrant please state full name and organisation in which individual is based. If a team entrant please state name team wishes to be known by and organisation/s in which team is based.
3. Address *
Full address, including post code. If entering for the team award please state the address of the team member who is submitting this application.
4.A Email address *
For communications relating to the award (please take care to enter this accurately).
4.B Mobile phione number *
For communications relating to the award (please take care to enter this accurately).
5. Summarise why you or your team should win the award *
200 words maximum.
6A. Give a clear description of the actions and roles taken to develop and support the achievement. *
Individual entrants should indicate any substantial involvement of others in the achievement. Team entrants should indicate the nature of the team, including who actually did what. 400 words maximum.
6B. Give a clear, credible, statement of individual or team approach to the technological, and/or methodological, and/or managerial, and/or teaching and learning choices made by the applicant (individual or team), during the period covered by the application. *
400 words maximum.
6C. Give a summary of the major and beneficial impact on practices within the entrant's or team's organization, community or sphere of influence. *
400 words maximum.
6D. Give a summary of the outstanding overall contribution in managing, researching, supporting or enabling learning with the use of learning technology. *
400 words maximum.
7. Filename *
The filename you used when saving the template version of the entry form. We ask for this as a back-up, in case for any reason some aspect of the form submission process fails.
8. Confirmation #1 *
Please check this box to confirm that you agree to be bound by the rules of the award and that you accept that the decision of the judges is final.
Required
9. Confirmation #2 *
Please check this box to confirm that you acknowledge that the information in the completed entry form will be handled in accordance with ALT’s Privacy Policy http://www.alt.ac.uk/privacy-policy
Required
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