2014 ALT Learning Technologist of the Year Award - Entry Form
The extended closing date for entries is Friday, 30 May 2014.
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About the award
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 world.

This year, we are also looking to award one Special Award to an individual or a group of learners who have made an outstanding contribution to using technology to support learning.

First, second and third prizes will be available in each of two categories: individual, and team, as follows: 1st prize £1000; 2nd prize £500; 3rd prize £250. The Special Award for Learners will include free attendance at ALT’s annual conference for up to two individuals.

The awards will be presented at ALT’s annual conference on the evening of 2 September 2014, University of Warwick.

The extended closing date for entries is Friday 30 May 2014. Face-to-face, telephone or virtual interviews of short-listed entrants will take place on Friday 13 June 2014 (in London if face-to-face). Applicants will be informed, if invited for interview, by email, on 4 June 2014.

The award will be judged by a panel chaired by Claire Donlan, President of ALT and Customer Services Manager, Information Services, Heriot-Watt University. The panel is:
- Sheila McNeil - Senior Lecturer at Glasgow Caledonian University and last year’s winner in the individual category;
- Valerie Maybury, Teaching and e-Leaning Improvement Manager for the Hull College Group and last year’s winner in the team category;
- Ellie Russell – Projects Office, The Student Engagement Partnership
- Richard Havinga - Senior e-Learning Specialist  at ULCC;
- Oliver Quinlan - Programme Manager: Digital Education at Nesta.


How to enter
1. Complete all sections of this form, taking careful account of the stated word limits and any other requirements.
2. Save a copy of your entry locally for your records.
3.      NOTE: Short-listed entrants will be asked to submit a short video about their entry to help showcase the award more widely. Videos will be hosted where possible on the ALT YouTube channel.

The extended closing date for entries is Friday, 30 May 2014. All entries will be acknowledged, and if you have not received an acknowledgement within 2 working days, please follow things up by email to ltaward@alt.ac.uk.

The award homepage and rubric are at http://www.alt.ac.uk/get-involved/awards 
This also provides answers to some frequently asked questions.

In case of difficulty, email ltaward@alt.ac.uk and we will do our best to help.
Entry form for all award entries
1. Is this an entry for the individual, team or learner 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, your team or the learner(s) should win the award. *
200 words maximum for individual and team entries. 500 word maximum for Special Award for Learner(s) entries.
Complete Section 6 for Individual or Team awards, go to Section 7 for Special Award for Learner(s) entries.
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 applicant's or team's organisation, 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. Special Award for Learner(s). Drawing on the criteria set out in Section 6, describe the impact the learner(s) have had and the outstanding contribution they have made in relation to improving, supporting or enabling learning and teaching with the use of technology.
500 words maximum.
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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