Outstanding Student Award 2017/18 - Nomination Form

Part 1. Nominator’s Information (to be filled by nominator)

Name in full: / Title:
Department: / Email:

Part 2. Nominees’ Information(to be filled by nominator)

I would like to nominate the following student:

Name: / Student ID:

to receive the Outstanding Student Award (2017/18) for his/her outstanding performance in the following area(s):

[ ] All-round Development[ ] Leadership Skills

[ ] Engagements in Societal Services[ ] Engagements in Arts and Culture Appreciation

[ ] Promotion and Support Environmental Protection Initiatives

[ ] Sports[ ] College Services[ ] College Spirit

Description of your knowledge of the nominee (including but not limited to his/her outstanding achievements, personal qualities, contribution to College and other information deemed appropriate)):

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Reasons of nominating him/her in more than 1 category (applicable to nomination in more than 1 category only):

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Date: ______Signature of nominator: ______

Outstanding Student Award 2017/18 - Nomination Form

Part 3. Additional Information(to be filled by nominee)

Description of your outstanding achievements (projects/ activities/ initiatives and subsequent outcomes - please elaborate on your role in above projects/ activities/ initiatives and the role others played through collaborative efforts): (you may submit your CV to the nominator as well if you deem appropriate)

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Part 4. Declaration (to be filled by nominee)

[ ] I understand the nomination will be reviewed and recommended by the selection panel. The results will be released in mid-March. The decision of the panel will be final.

[ ] I currently do not have any disciplinary records in the College and the University (such as demerits or outstanding College Service Hours).

[ ] I do not have outstanding payments not yet settled with the College (including hostel fees, fines and other payments)

Date: ______Signature of nominee: ______

Name of nominee: ______