Further Education Leadership Development Programme

APPLICATION FORMAT

In order to be considered for the Further Education Leadership Development Programme you
must complete all sections of this form in full.

Personal Details
Name:

Job Title:

Institution:

Address:

Date of birth:

E-mail:

Telephone:

Qualification (From Diploma/Degree onwards)

Degree/Diploma University/Board Year of Award Class

1
Career Profile
Period Position /Designation Institution Job Responsibilities
From To

Checklist
 Please confirm all statements are true by ticking:-
I am a Principal or Senior Factuly in a Technical Institution.
I have at least 15 years of experience
I am in the age group of 40 to 50 years.
I agree to complete required assignment work for this programme in my own time.
I agree to undertake a work-based project in my institution as part of this programme
and will be able to share the results upon completion.
I am willing and able to travel to the UK for part of this programme.
I understand the programme will be delivered in English.

Expression of Interest
Please give an overview of your Institute (size, courses etc).

What, in your opinion, are the main developments or changes you would like to see happen
in your institution over the next 2 years?

What do you see as the main challenges or potential barriers to successfully implementing
the above developments?

Why would you like to attend the Further Education Leadership Development Programme
and what do you hope will be the result of completing the training?

2
Submission
This application should be completed electronically and e-mailed to
aicteflprogram@gmail.com The deadline for receipt of submissions is 17 th March 2014.
Successful applicants will be informed via e-mail in April.

Approval

Expression of Interest approved by Dudley College
Expression of Interest approved by AICTE