Special achievement award nomination form

Fields marked with* are required.
If a upi is not known, enter the first half of the email including the @ [j.hancock@]

Note
The information on the nomination form is the only information available to the selection committee when making their decision. Referenced illustrative tables, photographs, etc can be added as an attachment, as can a brief endorsement document/email from the Group Services Manager or Head of School, but additional information will not be reviewed. Please ensure all relevant information is included in the form. Unformatted text can be pasted into the form from a Word document as the form cannot be saved as a draft. Nominations must be received by the Director of Faculty Operations on or before 4 October 2019.

Nominee(s)

At least one upi*

Details of nominator

Nominator upi*
Nominator email

School endorsement (all nominations must be endorsed by the relevant Group Services Manager/Head of School)

Endorser upi*

Outline of nomination

This award recognises a significant, specific contribution or achievement by a staff member or team beyond their basic job description. The nominee(s) should have provided extraordinary service towards a single event, project, innovation or idea that supports the faculty's mission.

Please outline how the nominee(s) meet this criterion.

Why are you nominating this person/team?


What was the event, project, innovation or idea?


What was the nominee’s involvement?


What extra effort (beyond their normal work) did the nominee(s) exert?


What has been the impact of this event, project, innovation or idea?


How does the achievement contribute to the faculty’s mission?


Please attach supporting documents here (PDF or MS Word)
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