APPLICATION FOR PROMOTION This form should be used by existing appointees within the UCD Clinical Pathway. First-time applicants should NOT use this form. Candidates wishing to be considered for promotion are invited to highlight achievements and contributions made since their last review. Clear evidence of progression under the assessment criteria will be necessary to justify advancement within the UCD Clinical Pathway. Candidates should note that the Review Panel would normally expect a minimum of three years between an appointment and an application for promotion. Please complete this form fully to ensure that the Review Panel has all relevant information on which to make a decision. Detailed curricula vitae, testimonies or personal references will not be considered. Please submit completed application form by email to the relevant Section Leader (see page 3) who will verify content and will submit to the Review Panel The Section Leader will keep you informed about the progress of your application and will provide feedback on the outcome.
PERSONAL & CONTACT DETAILS
Name:	Click here to enter text.
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Institution:	Click here to enter text.
Home Address:	Click here to enter text.
UCD Address:*	Click here to enter text.	UCD Personnel No.*	Click here to enter text.
Telephone:	Click here to enter text.	PPS No.:	Click here to enter text.
E-mail:	Click here to enter text.	* if applicable

Current Appointment (Pre-2015 Academic Titles in parenthesis)

Promotion Justification
(Please describe additional achievements or contributions since previous appointment which would justify promotion or reappointment.)
Research Scholarship & Innovation
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Clinical & Academic Leadership
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Teaching, Learning & Assessment
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Other Relevant Information
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Submission of Application

Please submit completed application form by email to the relevant Section Leader (see page 3) who will verify content and will submit to the Review Panel. The Section Leader will keep you informed about the progress of your application and will provide feedback on the outcome.

APPLICATION VERIFICATION and STATEMENT OF SUPPORT

All applicants are required to submit their application form to the relevant Academic Section Leader for verification of the information presented. Candidates are advised to engage early with their Section Leader as these individuals are familiar with the review process and will be able to offer helpful advice.

Section Leaders are required to verify the information presented above and provide a short statement of support. It is not necessary to re-iterate information presented by the candidate. Section Leaders may be required to defend their statement of support with additional evidence if requested by the Review Panel.

All academic and adjunct staff are appointed to one of six academic sections. These Sections integrate across multiple clinical sites. Your Section Leader may not be based at your clinical site

Current Academic Sections and Section Leaders are:

Academic Section	Section Leader	Email Contact
Biomedical Sciences	Prof Paul McLoughlin	paul.mcloughlin@ucd.ie
General Practice and Forensic & Legal Medicine	Prof. Gerard Bury	gerard.bury@ucd.ie
Radiography & Diagnostic Imaging	Dr Louise Rainford	louise.rainford@ucd.ie
Medicine & Medical Specialties	Prof Michael Keane	michael.p.keane@ucd.ie
Surgery & Surgical Specialties	Prof Ronan Cahill	ronan.cahill@ucd.ie
Women’s & Children’s Health	Prof Fionnuala McAuliffe	fionnuala.mcauliffe@ucd.ie

Comment by Section Leader Please provide any relevant context or background information on the contribution of the applicant to academic or clinical activities in the domains of:
Research, Scholarship & Innovation
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Clinical & Academic Leadership
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Teaching, Learning & Assessment
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Summary Relative strength of contribution in each area.
Research, Scholarship & Innovation Modest ☐ Normal ☐ Strong ☐ Very Strong ☐
Clinical & Academic Leadership Modest ☐ Normal ☐ Strong ☐ Very Strong ☐
Teaching, Learning & Assessment Modest ☐ Normal ☐ Strong ☐ Very Strong ☐

I verify that the information provided above by the applicant is, to the best of my knowledge, correct. I support this application and will be willing to provide any further information required by the Review Panel.

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