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UOWD Alumni Awards - Research, Innovation and Entrepreneurship

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UOWD Alumni Awards - Research, Innovation and Entrepreneurship

UOWD Alumni Awards - Research, Innovation and Entrepreneurship

Nomination Form - UOWD Alumni Awards: Research, Innovation and Entrepreneurship

Additional pages and relevant supporting documentation may be attached if there is insufficient space on the form.

NOMINEE

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NOMINATOR

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Are you a Graduate of the UOWD

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(You don’t need to be a graduate in order to nominate)

SUPPORTING STATEMENT

Please address selection criteria as outlined below:

Consent to Release Information

Please check this box to confirm that you consent to release the information contained herein for the purposes of the Fellowship and Alumni Awards dinner (should the nominee be successful) and for related promotional materials.

Has achieved sustained success throughout their career that is noteworthy and exceptional (500 words) Remove

Demonstrates sustained contribution to their profession, business and/or community at local, national and/or international levels (300 words) Remove

Attach Additional Documents (optional)

One file only.
8 MB limit.
Allowed types: jpg, png, txt, pdf, doc, docx, ppt, pptx, xls, xlsx, jar, rar, tar, zip.

REFEREE DETAILS

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Are you a graduate of UOWD

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Consent to Release Information

Please check this box to confirm that you consent to release the information contained in the supporting statement for the purposes of the Alumni Awards presentation (should the nominee be successful) and for related promotional materials

Attach Additional Documents (optional)

One file only.
8 MB limit.
Allowed types: jpg, png, txt, pdf, doc, docx, ppt, pptx, xls, xlsx, jar, rar, tar, zip.

SUBMIT NOMINATION

Nominations must be submitted online.

For further information, contact:

Block 14, University of Wollongong in Dubai, Knowledge Park Dubai, UAE. Telephone +971 4 278 1721. Email [email protected]

This information is collected for the purposes of considering nominations for the Alumni Award. The University is committed to protecting your privacy.

CHECKLIST

Contact details of nominee and nominator (compulsory)
Supporting statement addressing selection criteria outlined in the 2015 Alumni Award Guidelines. (compulsory)
Statement (s) from at least one referee to support the nomination who is not the nominator (compulsory)
Nominee’s most recent CV (compulsory)

Optional attachments:

Other documents to support the nomination – eg newspaper articles, statement of awards, etc

PDF versions of the nomination form for planning purposes, along with the guidelines are available at : alumni awards guidelines

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