Vice-Chancellor’s Excellence Awards 2016

Excellence in Postgraduate Research Training and Supervision

Nomination Form

SECTION 1 / NOMINEE DETAILS
INDIVIDUAL
Staff Id Number / Contact Number
Name (incl title)
Position/ Title / Length of Service
School / Unit
Email Address
TEAM
Team Name
Team Leader
Position Title / School / Unit
Team Members
1. / School / Unit
2. / School / Unit
3. / School / Unit
4. / School / Unit
5. / School / Unit
6. / School / Unit
7. / School / Unit
(if insufficient space, please attach a list)
SECTION 2 / ACCEPTANCE OF NOMINATION BY NOMINEE
I/We hereby give my permission for the University of Western Sydney, to use my photograph in official University business, including: websites, newsletters, newspapers and promotional material. It is agreed that the use of my photograph shall in no way be used in any other forum other than for official University business.
Nominee Name: / Signature:
SECTION 3 / NOMINATOR DETAILS
Name
Position/Title
Name of School or Unit
Email Address
SECTION 4 / STATEMENT OF SUPPORT – DVC & VP/ VP/ PVC/ Dean of School /Executive Director or Director
1. / Please state reasons for supporting this nomination
2. / How does this application align to the Securing Success 2015 – 2030 Strategic Plan?
Name:
Position: / DVC & VP/ VP/ PVC/ Dean of School/ Executive Director or Director / (please circle or bold)
Signature:
SECTION 5 / SELECTION CRITERIA
Please provide a summary of the nomination (Max 100 words). Please note: if the nomination is successful, the summary will be included in the award booklet.
1. / Provide a brief summary of achievements in one or more of the following areas, in relation to this Award: Contribution to higher degree research student’s candidature through development, leadership and demonstrated outcomes in areas of Postgraduate Research Training and Supervision at the University, Regional, National and International Levels.(Maximum 500 words)
2. / How does this application align with the Securing Success 2015 – 2020 Strategic Planand in particular the strategic goals in Research?(Maximum 500 words)
SECTION 6 / REFEREE REPORTS
1. / Referee report to support nomination
2. / Referee report to support this nomination
SECTION 7 / SUPPORTING DOCUMENTATION
You may attach three (3) to five (5) supporting documents as evidence of the achievements of the nominee(s). The documents need to be relevant and clearly support the nomination.
Some examples of additional information are:
  • additional letters of support
  • testimonials
  • a short curriculum vitae of the nominee

Please submit your application along with 7 copies to:

Manager, HR Projects and Support Services

Office of Human Resources

Building AE

Werrington North Campus

By close of business Monday 5September 2016

NOTE: This application will be acknowledged via email by 9September 2016. If you do not receive acknowledgement, please phone x7890 or email

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