GOLD MEDAL STUDENT AWARD

2014NOMINATION GUIDELINES

Please refer to the terms of reference for eligibility and selection criteria at

Nominations received for the 2014 Gold MedalStudent Award will be evaluated based solely on the information provided for each of the categories listed below.

A)Summary of major achievements in Canada, or on behalf of Canada, credited to the nominee that show outstanding contributions to societal issues through community involvement, outstanding achievements, and leadership in the profession at the student level.

B)Social impact (60 points). This section should include areas such as community involvement, including volunteerism, demonstration of social conscience that reflects well on the engineering profession in Canada, extracurricular activities that have a positive impact on society or the image of the engineering profession, and help to develop non-technical skills, outstanding achievements that have a positive impact on society.

C)Role model (40 points). This section should include areas which demonstrate the nominee’s abilities as an effective communicator and role model within the engineering student community, who has demonstrated strong leadership skills, professionalism and ethics through active community involvement, participation in engineering student societies, institutes or other professional bodies, or in activities that enhance the image of engineering students and the engineering profession in Canada, or increase public awareness of the career opportunities that exist in engineering.

You must use the nomination form as prepared by Engineers Canada.The completed form should not exceed 8 pages using a 12pt font. Letters of support (to a maximum of three) are recommended and will not be included in the page count. Transcript(s) of marks are also required but will not be included in the page count. Any supporting documentation, such as résumés and media clippings may also be submitted but must not exceed five pages. The page count will start with the Summary of major achievements, etc.

Engineers Canada requires only one printed copy of the nomination package.All categories must be addressed and all information should be as concise as possible.

Engineers Canada reserves the right to cancel, withdraw or amend any award and/or scholarship without prior notice.

Nominations may be submitted electronically or sent by courier by the deadline date:

4 p.m. (EST) on Friday, January 17, 2014.

Engineers Canada

1100-180 Elgin Street

Ottawa, ON K2P 2K3

GOLD MEDAL STUDENT AWARD

2014NOMINATION FORM

Name of nominee:

Name of the nominee’s provincial/territorial engineering licensing body (where applicable):

For example: APEGBC, APEGA, APEGM, etc. Links to the websites of the 12 licensing bodies can be found here

Nominee’s membership number with his/her provincial/territorial engineering licensing body (where applicable):

Nominee’s university address:

University telephone:

University email:

Home address:

Home telephone:

Home email:

Please indicate where all correspondence should be sent to:

University address:

Home address:

I attest to the fact presented in this nomination form and give permission for those facts to be used for publication. I understand and agree that by submitting this nomination form for the Gold Medal Student award that it does not imply that I will be selected as a recipient.

______

Nominee’s signatureDate

Admissibility criteria:

Is the nominee a Canadian or a permanent resident of Canada? (yes/no):

Is the nominee’s permanent residence located in Canada?(yes/no):

For completion by the nominator(s):

This nomination must be put forth by a person or a group of persons who can attest to the nominee’s accomplishments.

Name of nominator:

Position or title:

Organisation/Provincial/territorial engineering licensing body/Employer/University:

Complete mailing address:

Telephone:

Email:

In the space below, the nominator(s) must provide a written outline of the nominee’s accomplishments that relates to the selection criteria.

Summary of major achievements in Canada, or on behalf of Canada, credited to the nominee that shows outstanding contributions to societal issues through community involvement, outstanding achievements, and leadership in the profession at the student level.

Social impact (60 points). This section should include community involvement, including volunteerism, demonstration of social conscience that reflects well on the engineering profession in Canada, extracurricular activities that have a positive impact on society or the image of the engineering profession, and help to develop non-technical skills, outstanding achievements that have a positive impact on society.

Role model (40 points). This section should demonstrate the nominee’s abilities as an effective communicator and role model within the engineering student community, who has demonstrated strong leadership skills, professionalism and ethics through active community involvement, participation in engineering student societies, institutes or other professional bodies, or in activities that enhance the image of engineering students and the engineering profession in Canada, or increase public awareness of the career opportunities that exist in engineering.

Attach letter(s) of support (maximum of three).

Attach transcripts of marks.