Office use only – Reference No: RAeS HONOURS, MEDALS & AWARDS 2017 NOMINATION FORM INDIVIDUAL AWARD TEAM AWARD YOUNG PERSONS’ AWARD Please read the guideline notes on Page 5 before completing. The form should be typed or completed in black pen as it will be photocopied. Name of Nominee or Team Leader Team Title (applicable only to Team Award) Please complete a citation of between 50-100 words, stressing the major achievements of the individual or team. This may be used in publications if the nominee or team is successful. Address of Nominee or Team Leader Nominee’s or Team Leader’s Organisation Nominee’s or Team Leader’s Job Title Nominee’s or Team Leader’s Telephone Nominee’s or Team Leader’s Email Page 1 of 6 SPECIFIC ACHIEVEMENTS UPON WHICH THIS NOMINATION IS BASED (give as much detailed evidence as possible, 500 words maximum. Note: Must specifically identify advances or contributions made by the individual or team nominated. Page 2 of 6 ALL AWARDS: Please give details of nominee’s career history, including dates, positions held and nature of responsibility. In the case of a team nomination, please detail the history of the team’s collaboration, including dates, positions held, nature of responsibility and names of key team members being nominated. Page 3 of 6 Name of Proposer Proposer’s Job Title Proposer’s Address Proposer’s Telephone Proposer’s Email Signature of Proposer Date of signature Independent Referee’s Name Position Held of independent Referee Independent Referee’s Address Independent Referee’s Telephone Independent Referee’s Email Independent Referee’s Endorsement Signature of Independent Referee Date of signature Page 4 of 6 NOMINATION FORM GUIDELINES All nominations will be treated as confidential. Please note the following important guidelines before completing the nomination form: The nomination form must be used, otherwise the application will not be considered. All sections of the nomination form must be completed. When providing a nomination, it is required specifically to identify advances or contributions made by the individual or team being nominated. A bullet point style of presentation is acceptable. Maximum 500 words summary. Medals and Specialist Awards are conferred for specific achievement and advances in aerospace, not solely for worthy careers. Examples of achievement include – advancing technology, technical achievement, outstanding leadership, spreading the knowledge, real impact on the industry. It is required to provide a brief citation setting out achievements, which may be used in publications if the nominee or team is successful. Nominations for awards in the Young Persons’ Awards category should indicate evidence of potential. Please note that all awards in the Young Persons’ Awards category are awarded to those aged 30 and under. Proposers nominating for Specialist Awards should where relevant consider seeking RAeS Specialist Group endorsement. In the case of team nomination, you are required to give details of the history of the team’s collaboration, including names of key team members being nominated. Nominations of multi-organisation teams are welcome, although preference will be given to teams whose members have worked closely together and where the outcome has been largely dependant on the nominated team members’ own contributions. Independent referee contact details are mandatory for all Medals and Awards without which the application will not be accepted. A written endorsement from the referee is also mandatory. Self-nomination is not acceptable. Proposers should be independent of the direct personal or professional interests of the nominee if at all possible. If not, the nature of any such interests should be clearly identified. Page 5 of 6 Corporate Bodies e.g. Companies, Charities, Trusts, etc. cannot be nominated. Posthumous nominations are not accepted. Nominations must be received before 31 March 2017 to be included in the 2017 round of Royal Aeronautical Society Medals and Awards. Those received after this date will be carried forwards for inclusion in the 2018 round. Although your nomination may not be successful in the first instance, be persistent, these awards are highly competitive so do not give up. If the nomination is of a very high calibre but just misses being selected, the Medals and Awards Committee may decide to carry it forward to the following year. If so, you will be advised. There is, however no guarantee that it would be successful in subsequent years. Nomination forms can be sent either by email to [email protected] or by post addressed to: Mr Scott Phillips Royal Aeronautical Society No.4 Hamilton Place London W1J 7BQ UK Page 6 of 6
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