Vice-Chancellor’s Excellence Awards 2016Excellence in Research (Researcher of the Year)Nomination FormSECTION 1 NOMINEE DETAILSINDIVIDUAL

Staff Id Number

Contact Number

Name (incl title)Position/ Title Length of

ServiceSchool / UnitEmail Address

TEAM

Team NameTeam LeaderPosition Title School / UnitTeam Members

1. School / Unit2. School / Unit3. School / Unit4. School / Unit5. School / Unit6. School / Unit

(if insufficient space, please attach a list)SECTION 2 ACCEPTANCE OF NOMINATION BY NOMINEEI/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:

SECTION 3 NOMINATOR DETAILS

NamePosition/Title

Page 1 of 5

Name of School or UnitEmail Address

SECTION 4STATEMENT 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:

Page 2 of 5

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 Vice-Chancellor's Excellence in Research Award must address the following criteria for assessment. Nominations will be assessed on evidence provided in relation to the criteria.

i. Research significance — describe how the research aligns Research Plan 2015-2017 with at least one of the Research themes:

Environmental Sustainability: Climate, Agriculture and Resources Education: Access, Equity, Pathways and Aspirational Change Health and Well Being: Translation, Service and Innovation Urban Living and Society: People, Culture, Economy, and Built

Environment

Page 3 of 5

ii. Research impact — describe the impact and benefits of

the research and

evidence of national and international recognition.(details of all publications, research quality metrics and impact on society/industry to be included here e.g. citations).

iii. Research rigour and quality — Provide evidence of the sustained quality of the research and academic performance of the individual or team involved

Page 4 of 5

SECTION 6 REFEREE REPORTS

Please attach up to 3 referee reports to support nomination (National and International Referees report will be awarded a higher weighting)

SECTION 7 SUPPORTING DOCUMENTATIONDocumentary 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

(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:

Manager, HR Projects and Support ServicesOffice of Human Resources

By close of business Monday 5 September 2016

NOTE: This application will be acknowledged via email by 9 September 2016. If you do not receive acknowledgement, please phone x7890 or email vcxawards@westernsydney.edu.au

Page 5 of 5