Faculty of Science
BEST HDR ENGAGEMENTAWARD (2017)
(COMMUNITY, INDUSTRY OR INTERNATIONAL)
‘APPLICATION FORM – PART A’
‘PART A’ – TO BE COMPLETED BY STUDENT:
1. APPLICANT DETAILS
Surname: / First Name: / Title:Student Number: / Program (e.g., PhD in Biology):
School/Centre: / Proposed Thesis Submission Date:
Stage of Candidature (e.g., FT 2nd Year or PT equivalent):
Email: / Phone:
Principal Supervisor Name:
2. APPLICANT STATEMENT - # Attach appropriate documentation that supports/verifies your application.
Please provide a statement addressing the judging criteriaoutlined in the ‘Guidelines’.
(Use Times New Roman in 12pt font - all text must be contained within the box.)
3. CERTIFICATION: by Applicant
I certify that the information contained within this application is correct.
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NameSignatureDate
4.CERTIFICATION: by Head of School
I certify thatI do support/do not support this application for the above-named award.
Please provide comments below if you do notsupport this application:
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NameSignatureDate
5. SUBMISSION DETAILS
Applications close: 5.00PMMONDAY 30THOCTOBER 2017.
Submit an electronic copy of your application (in one PDF document) via email to:
For further information, please contact:
Ms Lina Bozinovska
Research and Research Training Officer
Faculty of Science
Science Research Development and Training Hub
V210 Mathematics Building
University of Newcastle
CALLAGHAN NSW 2308
T:+ 61 2 4921 5243
E:
Faculty of Science
BEST HDR ENGAGEMENT AWARD (2017)
(COMMUNITY, INDUSTRY OR INTERNATIONAL)
‘APPLICATION FORM – PART B’
‘PART B’ – TO BE COMPLETED BY NOMINEE OF EXTERNAL ORGANISATION:
1. APPLICANT DETAILS
Surname: / First Name: / Title:2. STATEMENTFROM NOMINEE OF EXTERNAL ORGANISATION
Please address the judging criteria as follows:
a)Evidence provided on the nature and extent of the students’ involvement with external engagement (e.g., international, industry, professional bodies, media, etc.);
b)Evidence of learning, reflection and growth by the student through their involvement with the community, industry or international organisation;
(Use Times New Roman in 12pt font - all text must be contained within the box.)
3.CERTIFICATION: by External Organisation Nominee
I certify that the information contained within this application is correct.
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NameSignatureDate
4. SUBMISSION DETAILS
Submit ‘PART B’ onlyof the application electronically to: Ms Lina Bozinovskaby5.00PMMONDAY 30TH OCTOBER 2017to:
For further information, please contact:
Ms Lina Bozinovska
Research and Research Training Officer
Faculty of Science
Science Research Development and Training Hub
V210 Mathematics Building
University of Newcastle
CALLAGHAN NSW 2308
T:+ 61 2 4921 5243
E:
Faculty of Science
BEST HDR ENGAGEMENT AWARD (2017)
(COMMUNITY, INDUSTRY OR INTERNATIONAL)
‘APPLICATION FORM – PART C’
‘PART C’ – TO BE COMPLETED BY PRINCIPAL SUPERVISOR:
1. APPLICANT DETAILS
Surname: / First Name: / Title:2. PRINCIPAL SUPERVISOR STATEMENT
Please address the judging criteria as follows:
a)Evidence provided on the nature and extent of the students’ involvement with external engagement (e.g., international, industry, professional bodies, media, etc.);
b)Evidence of learning, reflection and growth by the student through their involvement with the community, industry or international organisation;
c)The extent to which the community, industry or international engagement is aligned with the University’s NeW Futures Strategic Plan.
(Use Times New Roman in 12pt font - all text must be contained within the box.)
3.CERTIFICATION: by Principal Supervisor
I certify that the information contained within this application is correct.
------
NameSignatureDate
4. SUBMISSION DETAILS
Submit ‘PART C’ onlyof the application electronically to: Ms Lina Bozinovskaby5.00PMMONDAY 30TH OCTOBER 2017 to:
For further information, please contact:
Ms Lina Bozinovska
Research and Research Training Officer
Faculty of Science
Science Research Development and Training Hub
V210 Mathematics Building
University of Newcastle
CALLAGHAN NSW 2308
T:+ 61 2 4921 5243
E: