Systems Engineering Award
Nomination Form
IMPORTANT: Carefully read the ‘Systems Engineering Award Criteria and Instructions’ before
completing this form.
1.
Nominee
Name: Click here to enter text.
Position: Click here to enter text.
Organisation: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.
2.
Details of the person to contact if further information is required (this person will also be
contacted regarding the outcome of the nomination)
Name: Click here to enter text.
Position: Click here to enter text.
Organisation: Click here to enter text.
City/Town: Click here to enter text.
State/Territory: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.
3.
How long has the nominee worked in the rail signal and telecommunications/train control
systems industry and what positions have they held?
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4.
During the nominee's time in the rail S&T industry, what notable projects and/or activities
has the nominee been involved in or led that shows the nominee’s outstanding leadership
and personal integrity?
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5.
Provide examples of projects and/or activities that the nominee has been involved in or led
that highlights the nominee’s creativity and innovation capabilities
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6.
Provide examples of projects and/or activities that the nominee has been involved in or led
that highlights the nominee’s ability to thoroughly test and prove the safety of the technology
for rail applications
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7. Provide examples of projects and/or activities that the nominee has been involved in or led
that highlights the nominee’s ability apply systems engineering principles in the development
or application of new technology
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8.
Provide examples of projects and/or activities that the nominee has been involved in or led
that highlights the nominee’s ability to adequately address human factor issues in adopting
new technology in railways
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9.
What did these projects/activities achieve for the operation of railways? Please provide
figures if possible and appropriate
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10. In 200 words or less, why should the nominee receive the Systems Engineering Award?
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SELF NOMINATIONS
Are you submitting a self-nomination?
☐ Yes (see below)
☐ No (you are not required to complete this section)
If Yes, you must include:
 second/third party endorsement, and
 contact details of a referee.
Endorsement
☐ Detailed endorsement attached
Referee
Name of Referee: Click here to enter text.
Position: Click here to enter text.
Organisation: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.
SUBMITTING NOMINATION - Nominations close Friday 21 April 2017
☐
Nomination (saved with the category title and nomination company/individual)
☐
Supporting material (saved with attachment number, category title and nominating
company/individual
Email your nomination to [email protected]
For assistance contact Janet Cameron, [email protected] or 02 6270 4527.
PERMISSION TO SHARE KEY POINTS OF NOMINATION
In the interests of the sharing of corporate knowledge, I give permission for the key points of my
nomination to be shared with the wider rail industry.
☐ Yes
☐ No
If yes, please provide below an overview of your nomination (up to one A4 page) and contact details
for further information, for inclusion in the Rail Knowledge Bank
http://railknowledgebank.com/Presto/home/home.aspx and the Awards website.
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Contact details for further information:
Name: Click here to enter text.
Position: Click here to enter text.
Organisation: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.