Research Excellence Awards 2016

Deputy Vice-Chancellor (Research and Development)

Research Excellence throughPartnership

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 / Unit
8. / School / Unit
(if insufficient space, please attach a list)
SECTION 2 / ACCEPTANCE OF NOMINATION BY NOMINEE
I/We hereby give my/our permission for the Western Sydney University, to use my/our 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:
Nominee Name: / Signature:
Nominee Name: / Signature:
Nominee Name: / Signature:
Nominee Name: / Signature:
(If insufficient space for all nominees to sign, please attach additional sheet.)
SECTION 3 / NOMINATOR DETAILS
Name
Position/Title
Name of School or Unit
Email Address
OPC Administration Only
Date Received / / / 2015 / Application No.
SECTION 4 / STATEMENT OF SUPPORT – Dean of School/ Institute Director /PVC or DVC
1. / Please state reasons for supporting this nomination
2. / How does this application align to the Research Plan 2015-2017?
Name:
Position: / Dean of School/ Institute Director/ PVC or DVC / (please circle or bold)
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. / Nominees for Deputy Vice-Chancellor's (Research and Development) Research Excellence through Partnership Award must address the following criteria for assessment. Nominations will be assessed on evidence provided in relation to the criteria.
  1. Research significance — describe how the research aligns Research Plan 2015-2017 with at least one of the Research themes:
  2. Environmental Sustainability: Climate, Agriculture and Resources
  3. Education: Access, Equity, Pathways and Aspirational Change
  4. Health and Well Being: Translation, Service and Innovation
  5. Urban Living and Society: People, Culture, Economy, and Built Environment

  1. Collaboration – Demonstrate the evidence of teamwork

  1. Research impact — Evidence of the outcomes of the research and the benefits for the partner organisation, and any internal benefits i.e. sponsorship of students, or further collaborative research. The application should include a supporting document from the external partner describing the outcomes and benefits of the partnership. (This should not exceed two pages).Please also includeall publications, research quality metrics and impact on society/industry to be included here e.g. citations).

SECTION 6 / REFEREE REPORTS
1. / Please attach up to 3 referee reports to support nomination (National and International Referees report will be awarded a higher weighting)
SECTION 7 / SUPPORTING DOCUMENTATION
Documentary evidence is necessary to support nominations for Excellence in Research Awards only. While assessment is based primarily on the written statement and referees reports, nominees can choose to submit two of the following supporting materials:
a. a three minute video (which could include footage of the nominee talking about their research program or demonstrating the impact and outcomes of their research)
b. website (URL)
c. 5 pages of printed research material in PDF format
d. Profile photo of applicant head and shoulders or Team Photo as applicable
(There is an expectation that applicants have granted permission for the panel to review their research outputs as recorded in the Research Portal).

Please submit your application electronically to:

Tanya Barclay

Senior Project and Strategy Officer

Office of Deputy Vice-Chancellor (Research and Development)

Email:

By close of business 5 September 2016

NOTE: This application will be acknowledged via email by Tanya Barclay. If you do not receive acknowledgement, please phone x7180

Page 1 of 5