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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 / Page 1 of 8
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Vice-Chancellor’s Excellence Awards 2016Excellence in Postgraduate Research Training and SupervisionNomination FormSECTION 1 NOMINEE DETAILSINDIVIDUAL
Staff Id Number
Contact Number
Name (incl title)Position/ Title Length of
ServiceSchool / UnitEmail Address
TEAM
Team NameTeam LeaderPosition Title School / UnitTeam Members
1. School / Unit2. School / Unit3. School / Unit4. School / Unit5. School / Unit6. School / Unit7. School / Unit
(if insufficient space, please attach a list)SECTION 2 ACCEPTANCE OF NOMINATION BY NOMINEEI/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
NamePosition/Title
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Name of School or UnitEmail 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 (please circle or bold)
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Director or Director
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)
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2. How does this application align with the Securing Success 2015 – 2020 Strategic Plan and in particular the strategic goals in Research? (Maximum 500 words)
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SECTION 6 REFEREE REPORTS
1. Referee report to support nomination
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2. Referee report to support this nomination
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SECTION 7 SUPPORTING DOCUMENTATIONYou 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 ServicesOffice of Human ResourcesBuilding AEWerrington North Campus
By close of business Monday 5 September 2016
NOTE: This application will be acknowledged via email by 9 September 2016. If you do not receive acknowledgement, please phone x7890 or email [email protected]
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