Distinguished Alumni Awards

Nomination form

For the category: Distinguished Alumni Professional Achievement Award

Conditions of nomination

  • Nominations must be submitted via the online form
  • Nominations in all categories can be made by a Monash alumnus, Monash staff member or a member of the public
  • Alumni can only be nominated in one award category in the same year
  • All nominations and supporting statements are confidential. The person being nominated should not be approached for information or advised of his or her nomination at any stage. No approach should be made to any nominee until the selection process has been completed and only the successful nominees will be contacted
  • Alumni may not nominate themselves
  • Close family may not nominate, nor may they act as referee to a nomination
  • Nominations received after the due date (Wednesday 18 April, 2012, 5pm AEDT) will not be accepted
  • The following alumni are not eligible to be nominated for a Distinguished Alumni Award:
    • Alumni holding political office at a local, state/provincial or national level;
    • Alumni who currently hold or have held political office within two years of the date of the close of nominations;
    • Recipients of a Monash University Honorary degree who did not also complete a Monash course;
    • Recipients of a Monash University Honorary Fellowship;
    • Members of the selection panel;
    • Advancement staff members.
  • Members of the selection panel and Advancement staff may not submit nominations, nor may they act as referee to a nomination.

*Close family refers to any of the following: spouse, ex-spouse, de-facto spouse, child or step-child (whether natural or by adoption), parent, step-parent, grandparent, step-grandparent, uncle, aunt, niece, nephew, brother, sister, step-brother, step-sister or first cousin.

Important instructions

A.  There are six steps that need to be completed before nominations are submitted. The details required are as follows:

  • The nominee's personal and professional details;
  • The nominator's personal and professional details;
  • The nominator's reasons for nominating, consisting of a statement against each of the selection criteria (no more than 280 words per criteria);
  • Two signed reference letters in support of the nomination, addressing each selection criteria (no more than 280 words per criteria). The referee must be a person other than the nominator, and not related to the nominee. The referee's name and affiliation must be provided;
  • The nominee's Curriculum Vitae (CV), including a list of their most significant publications (where applicable). The CV and bibliography must not exceed three single side A4 pages.

B.  Fields marked with an asterisk (*) are compulsory.

C.  To complete the nomination form, you need electronic versions of the following documents:

  • Two reference letters (preferably signed or with electronic signature appended) addressing the two selection criteria (no more than 250 words per criteria;)
  • The nominee's most recent CV

Accepted file extension types are: .jpg, .zip, .pdf, .doc, .png, .docx, .gif

Note: You will not be able to save the form at any stage and the form will not be submitted until you complete the final step and press 'submit'.

Nominations must be received by 5pm (Australian Eastern Standard Time), Wednesday 18 April, 2012.

You will receive a confirmation message upon successful submission of your nomination. The selection process will be finalised by early June 2012 and results will be communicated to you soon after. Only successful nominees will be contacted.

Submitting this form does not automatically imply that the nominee will be selected for a Distinguished Alumni Award. The information provided in this form will be handled in strict confidence, following Monash University's privacy regulations.

For enquiries please contact:

Alumni Relations
Advancement
Monash University
Tel: +61 3 9903 4679
PO Box 197, Caulfield East, VIC 3145, Australia
Email: distinguishedalumni@monash.edu