MERITORIOUS SERVICE ALUMNI AWARD 2019

Transcription

1 NOMINEE NAME MERITORIOUS SERVICE ALUMNI AWARD 2019 NOMINATION FORM VICTORIA UNIVERSITY ALUMNI AWARDS

2 MERITORIOUS SERVICE ALUMNI AWARD Eligibility Criteria This Award recognises an alumna/us who has in a voluntary capacity made a significant positive contribution to the VU community and/or the broader community. Criteria - nominee must 1. Be a VU alumna/us 2a. Have made significant voluntary contributions within a community, which have led to enduring positive outcomes for the wellbeing of others 2b. Have provided outstanding voluntary service to VU, enhancing relationships between VU (departments, students, and/or alumni) industry and / or the broader community in support of achievement of VU s goals 3. Operate in a way that encourages and supports inclusion, diversity, excellence and respect Please see Guidelines & Conditions of Nomination for tips on completing a VU Alumni Award nomination form. ALUMNI AWARDS 2019

3 Nomination Nominee Personal Details Title First name Last name Name at graduation (if different) VU student number (if known) address Mobile phone Address Suburb Postcode Country VU qualification/s and year of graduation (Criteria 1) Other qualifications (if known) Current job title (if working) Current employer (if working) Nominator Details (Please tick box if self-nomination ) Title First name Last name address Mobile phone Relationship to VU e.g. alumni, student, staff Relationship to nominee e.g. classmate, colleague, teacher Current job title (if working) Current employer (if working) VICTORIA UNIVERSITY P2

4 Award Criteria - responses and information Note Please use examples to clearly show how the nominee meets the criteria. It is not compulsory to complete both 2a and 2b. If both apply to the nominee, complete both sections, if not, then complete the section that does apply. 2a. Please describe how the nominee has made significant voluntary contributions within a community, which have led to enduring positive outcomes for the wellbeing of others. ALUMNI AWARDS 2019

5 2b. Please describe how the nominee has provided outstanding voluntary service to VU, enhancing relationships between VU (departments, students, and/or alumni), industry and/or the broader community in support of achievement of VU s goals. VICTORIA UNIVERSITY P4

6 3. Please give examples of how the nominee operates in a way that encourages and supports inclusion, diversity, excellence and respect. ALUMNI AWARDS 2019

7 Other supporting information Please provide any further information in support for the nominee, which has not already been provided in the Award criteria responses. This may include, for example, any particular challenges the nominee has overcome in their journey to success and any information not covered by the Award criteria that may support the overall nomination. VICTORIA UNIVERSITY P6

8 Resume A brief resume outlining roles held, employer and overview of key responsibilities and achievements may be attached to the nomination . (maximum 3 A4 pages no less than 11 point font) Hyperlinks You may, if desired, insert below up to 4 hyperlinks to relevant sties / articles / videos which showcase the nominee or their work. Please only include links to publicly accessible sites and information. Timeline for 2019 Nominations Open: Wednesday 3 October 2018 Nominations Close: 5pm Sunday 2 June 2019 Award selection panel reviews nominations: late June end July 2019 Nominees notified, finalists announced: mid-august 2019 Awards Presentation evening: TBC Nominator declaration of nominee acceptance I have obtained permission from the nominee and all information included in this nomination is, to the best of my knowledge, correct. Nominator Name Date ALUMNI AWARDS 2019