Faculty of Science
BEST HDR INNOVATIONAWARD (2017)
‘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. YOUR INNOVATION
Project/Innovation Title
2.1Clearly demonstrate briefly your new idea/product or service in simple terms.
What is it? What does it do? How does it work?
(Use Times New Roman in 12pt font - all text must be contained within the box.)
2.2Clearly demonstrate how your new idea/product or service is being turned into ‘value’
(e.g., financial, economic, community (social), and/or environmental).
(Use Times New Roman in 12pt font - all text must be contained within the box.)
2.3Clearly demonstrate the outcomes being achieved or expected to be achieved through its application to academia, industry or the community.
(Use Times New Roman in 12pt font - all text must be contained within the box.)
2.4Clearly demonstrate how your project intends to deliver to academia, industry or the community.
(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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Faculty of Science
BEST HDR INNOVATION AWARD (2017)
‘APPLICATION FORM – PART B’
‘PART B’ – TO BE COMPLETED BY STAKEHOLDER:
1. APPLICANT DETAILS
Surname: / First Name: / Title:2. STATEMENT FROM STAKEHOLDER:
Please address the judging criteria as follows:
a)The opportunity the student has to develop their idea into ‘value’ (e.g., financial, economic, community (social), and/or environmental).
b)The significance of the project in relation to the students’ discipline (e.g., through commercialisation, patents, citations, performance metrics, public recognition, etc.).
c)Other competitive achievements (e.g., prizes, media interest/publication or radio interviews, and invitations for talks during candidature relating to the idea/innovation).
(Use Times New Roman in 12pt font - all text must be contained within the box.)
3.CERTIFICATION: by Stakeholder Nominee
I certify that the information contained within this application is correct.
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NameSignatureDate
4.SUBMISSION DETAILS
Submit ‘PART B’ only of the application electronically to: Ms Lina Bozinovska by5.00PMMONDAY 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 INNOVATION AWARD (2017)
‘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)The opportunity the student has to develop their idea into ‘value’ (e.g., financial, economic, community (social), and/or environmental).
b)The significance of the project in relation to the students’ discipline (e.g., through commercialisation, patents, citations, performance metrics, public recognition, etc.).
c)Other competitive achievements (e.g., prizes, media interest/publication or radio interviews, and invitations for talks during candidature relating to the idea/innovation).
(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’ only of the application electronically to: Ms Lina Bozinovska by5.00PMMONDAY 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: