SaPP Application

Student Information

Student Name:*

First Last

Carleton Student I.D:*

Carleton Email Address:*

Academic Information

Program:*

Faculty:*

At the time of the application the applicant is studying:*

Part time
Full time

Year of Study:*

First
Second
Third
Fourth

Are you legally eligible to work in Canada?*

Please note: You must be legally able to work in Canada in order to participle in the program.

Yes
No

Do you have all the appropriate documents to work in Canada?*

If you are unsure if you have all the appropriate documents or if you have any questions, please contact HR at humanresources@carleton.ca before applying.

Yes
No

Will you be residing in Canada for the duration of the SaPP program?*

Yes
No

*Please note Payroll (HR) payments/salaries are linked with Canadian banks and institutions only (no foreign). The work has to be performed in Canada.

Have you been employed by Carleton University in the past?*

Yes
No

Note: If you are accepted into I-CUREUS and have not worked at Carleton in the past, you will be required to fill out the new employee documentation package: https://apps.carleton.ca/hr/intake/. If you have any questions with regards to the package, please contact HR: humanresources@carleton.ca.

Will you be working at Carleton University for the duration of SaPP? This can include co-op or other paid positions with the University.*

Yes
No

If you will be working at Carleton University for the duration of SaPP, please indicate the number of hours per week.*

Instructor Information

Name:*

First Last

Department/Unit:*

Email:*

Please indicate your academic rank*

Faculty, Instructor, Contract Instructor, Lab Coordinator, Educational and Instructional Developer or Librarian

If on contract, please indicate end date*

Project Information

Project Start Date*

*Please note projects can run from January-April 2023

Project End Date*

*Please note projects can run from January-April 2023

Expected hrs/week: (~10-15)*

Total Hours (130 max)*

Project Title:*

Project Description (please include the student's role and benefits to student)*

Please describe how this project will be a learning opportunity for both instructor/staff and student*

Please outline how the partners (instructor/staff and student) intend to communicate their work*

Summer 2023 Course Code*

Please indicate objective of the project:*

Design or re-design of course learning activities and resources
Helping with design, formatting and preparation of course assessments
Collaboration on teaching and learning (SoTL) research projects

Does your project require research ethics clearance for research involving human participants, animals or bio-hazards?*

All research involving human participants must be cleared by the Carleton REB. This includes research conducted at Carleton, research conducted off campus, research approved by another academic institution, and may include archival research. More information can be found at carleton.ca/researchethics or email: ethics@carleton.ca. Clearance is also required for research with animals and biohazards. More information can be found at carleton.ca/animalethics.

Yes
No

Please outline approved research ethics clearance*

Acknowledgement of Understanding

Before proceeding, please ensure you read the Acknowledgement of Understanding

Students as Partners Program Acknowledgment of Understanding

Please confirm:*

I consent that both the student and instructor have read, understood, and agreed with all of the contents of the Students as Partners Program (SaPP) Acknowledgement of Understanding and will strive to fulfill all the parts therein.

Please confirm:*

I acknowledge that as a student participant in SaPP, I will complete one FUSION module during the winter 2023 term.

Personal information collected through this form will be used and disclosed by Carleton University under the authority of the Carleton University Act, 1952, and in accordance with sections 39, 41 and 42 of Ontario’s Freedom of Information and Protection of Privacy Act. The purpose of this processing is to administer the SaPP. If you have any questions about the processing of personal information by Carleton University, please contact the Manager, Privacy & Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via University_Privacy_Office@carleton.ca

Please confirm*

I agree and I acknowledge that I have read the privacy notice and consent to the uses and disclosures identified.

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Teaching and Learning Services

Winter 2023

Students as Partners Program Application - Winter 2023

Student Information

Academic Information

Instructor Information

Project Information

Acknowledgement of Understanding