Systems Engineering Award
Nomination Form

IMPORTANT: Carefully read the ‘Systems Engineering Award Criteria and Instructions’ before completing this form.

  1. Nominee

Name:Click here to enter text.

Position:Click here to enter text.

Organisation:Click here to enter text.

Email:Click here to enter text.

Telephone:Click here to enter text.

  1. Details of the person to contact if further information is required (this person will also be contacted regarding the outcome of the nomination)

Name:Click here to enter text.

Position:Click here to enter text.

Organisation:Click here to enter text.

City/Town:Click here to enter text.

State/Territory:Click here to enter text.

Email:Click here to enter text.

Telephone:Click here to enter text.

  1. How long has the nominee worked in the rail signal and telecommunications/train control systems industry and what positions have they held?

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  1. During the nominee's time in the rail S&T industry, what notable projects and/or activities has the nominee been involved in or led that shows the nominee’s outstanding leadership and personal integrity?

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  1. Provide examples of projects and/or activities that the nominee has been involved in or led that highlights the nominee’s creativity and innovation capabilities

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  1. Provide examples of projects and/or activities that the nominee has been involved in or led that highlights the nominee’s ability to thoroughly test and prove the safety of the technology for rail applications

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  1. Provide examples of projects and/or activities that the nominee has been involved in or led that highlights the nominee’s ability apply systems engineering principles in the development or application of new technology

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  1. Provide examples of projects and/or activities that the nominee has been involved in or led that highlights the nominee’s ability to adequately address human factor issues in adopting new technology in railways

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  1. What did these projects/activities achieve for the operation of railways? Please provide figures if possible and appropriate

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  1. In 200 words or less, why should the nominee receive the Systems Engineering Award?

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SELF NOMINATIONS

Are you submitting a self-nomination?

☐ Yes (see below)☐ No (you are not required to complete this section)

If Yes, you must include:

  • second/third party endorsement, and
  • contact details of a referee.

Endorsement

☐Detailed endorsement attached

Referee

Name of Referee:Click here to enter text.

Position:Click here to enter text.

Organisation:Click here to enter text.

Email:Click here to enter text.

Telephone:Click here to enter text.

SUBMITTING NOMINATION - Nominations close Friday 20 April 2018

☐Nomination (saved with the category title and nomination company/individual)

☐Supporting material (saved with attachment number, category title and nominating company/individual

Email your nomination to

For assistance contact Janet Cameron, or 02 6270 4527.

PERMISSION TO SHARE KEY POINTS OF NOMINATION

In the interests of the sharing of corporate knowledge, I give permission for the key points of my nomination to be shared with the wider rail industry.

☐ Yes☐ No

If yes, please provide below an overview of your nomination (up to one A4 page) and contact details for further information, for inclusion in the Rail Knowledge Bank and the Awards website.

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Contact details for further information:

Name:Click here to enter text.

Position:Click here to enter text.

Organisation:Click here to enter text.

Email:Click here to enter text.

Telephone:Click here to enter text.