Form For New Faculty

Part I:PROFILE

Name:

Gender :

Male

Female

Email:

Phone:

Alternate Phone:

Date of Birth:

City:

State:

Address:

Part II: Education Details

Degree:

Admission Year:

Passing Year:

Percentage:

Specialisation:

School/College:

Part III:Research Qualification

DEGREE(MPhil/PhD/fellow):

Registration Year:

Awarded Year:

Specialization:

Thesis:

Name of Guide:

College:

University:

Part IV: Present Position(Current Employment Details)

Present Position Held:

Organization:

Nature of Work:

From:

Total:

Experience:

Part V: Employment Details

Name:

Designation:

Nature of Work:

From Date:

To Date:

Monthly Salary:

Leaving Reason:

Experience in months/years:

Part VI: Professional Development Activities

Publication (Chronologically in reverse order commencing with the five best and latest)

Type Of Journal:

Title:

Co-Author:

Publisher:

Year Of Publication:

ISSN/ISBN number:

Peer Reviewed:

Are You the Main Author:

Part VII: Project/Consultancies

Type:

Title Agency:

Period:

Grant/Amount Mobilised:

Whether policy document/patent as outcome

Part VIII: Research Guidence

Type:

Number Enrolled:

Thesis Submitted:

Degree Awarded:

Part IX: DETAILS OF FELLOWSHIPS / AWARDS

Name of the Award:

Sponsoring Agency:

International/National Level:

Date:

Part X: Papers Presented / Invited Lectures and Chairmanship (Last 3years)

Type:

Title:

Title of conference/seminar etc by:

Organised:

International/National/State Level:

Part XI : ICT mediated Teaching learning pedagogy and content and development of new and Innovative courses and curricula

Type:

Title of Innovative Pedagogy / and Courses

Entrusted by:

Whether accomplished:

Completion Year/Month:

Implemented/ adopted by:

Part XII : MOOC mediated Teaching learning pedagogy and content and development of new and Innovative courses and curricula

Type:

Title(s) of Lecture and name of the course :

Entrusted by:

No of Quadrant Developed:

Whether Content writer/ Course Coordinator:

Whether recognised by SWAYAM:

Part XIII : Details of Teaching , Research and Field Activities

1. Give a list of activities in all your previous jobs, except the last one, including the subjects taught, research undertaken, students guided for M.A./M.Phil./Ph.D., guidance of field practice of students (nature of settings), field action projects guided and administrative experience:

2. Describe the nature of consultancy work undertaken by you, for whom and where:

3. Give the details of the teaching materials prepared by you and any specific contribution you are making/have made to the training programmes in which you have been involved, the modifications and changes, if any, contributed by you, the reasons for the same, the syllabi you have developed, and anything else which is pertinent to the academic or field training programmes.

4. Mention your activities in public affairs at the city, state, national or international level, and contribution to organisations, social policy, social action, project planning and development..

5. Give details of the field action projects in which you have been involved.

6. List the Seminars/Workshops/Conferences directed by you (target group, purpose, number of days, etc.).

7. List your Membership and Position (e.g., Convenor, Chairperson) in Committees set up in the academic or other institutions in which you were employed.

8. Describe the contributions made by you as a teacher to student life in co-curricular activities.

9. Mention languages other than English in which you can teach.

10.Have you any disabilities which might limit your performance in your prospective field of work?

Part XIV:Other Details –

LANGUAGES KNOWN:

Language 1:

Read:

Write:

Speak:

Language 2:

Read:

Write:

Speak:

Language 3:

Read:

Write:

Speak:

2:Referees (three of them)

Name 1:

Email:

Mobile:

Address:

Profession:

Known to the applicant:

Name 2:

Email:

Mobile:

Address:

Profession:

Known to the applicant:

Name 3:

Email:

Mobile:

Address:

Profession:

Known to the applicant:

Part V :Why SSIM?

1. Explain your reasons for suitability for the post.

2. If selected, what notice would you require for joining the post?

3. Any other information / any other acheivements you would like to share:.