Permanent Way Institution
Young Achiever Award
Nomination Form
This Award is open to individuals who are:

a financial member of the Permanent Way Institution (PWI) NSW at the time of entry, and

under the age of 35 as at 1 January 2017.
Nominees will be judged by an independent panel appointed by the PWI on either a Technical paper
that has been written (and preferably presented) or a Project or Program of Works that has been
completed, within the last 18 months.
Nominees will be assessed on the following criteria:
1.
2.
3.
4.
5.
6.
Relevance to Perway
Difficulties Overcome
Quality of Paper and/or Presentation
Amount of Innovation
Ongoing benefit to the rail industry
Technical Excellence
Total Score/Marks:
20
20
20
15
15
10
100
NOTE: Previous winners of this Award (or similar such Awards, e.g. the RTAA Frank Franklyn
Award) will be excluded from resubmitting an application for this Award for a period of no
less than five years from the time of submitting their application for their winning Award.
The subject of the Award must relate to the Applicant’s current employer who will be
required to provide a reference.
The successful Candidate will be required to submit a proposed itinerary for attendance at
the proposed conference to the Judging Committee for endorsement, prior to funding
being approved.
The successful Candidate will present at the next relevant Technical meeting or the Annual
Convention, a summary of the attended conference and any associated industry visits.
Late or incomplete applications may incur a scoring penalty and will only be accepted at the
discretion of the judging panel.
Please ensure you read through the PWI Rules and Procedures document before submitting a
nomination. Please respond to the following questions to submit a nomination.
If you need assistance, please contact Mike Hickey via [email protected] or 0417
430 960.
1.
Permanent Way Young Achiever Award Nominee
Name: Click here to enter text.
Date of Birth: Click here to enter a date.
Position: Click here to enter text.
Organisation: Click here to enter text.
Email Address: Click here to enter text.
Phone Number: Click here to enter text.
Nationality: Click here to enter text.
Residency Status: Click here to enter text.
2.
Contact details of the person to liaise with regarding this 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: Click here to enter text.
Email Address: Click here to enter text.
Phone Number: Click here to enter text.
3.
Is the Nominee a Financial Member of the Permanent Way Institution of the NSW section?
Choose an item.
4.
Applicant’s referees: (NOTE: minimum of two references, with one to be from current employer).
4a Applicant’s referee 1:
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: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.
PWI Member: Choose an item.
4b Applicant’s referee 2:
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: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.
PWI Member: Choose an item.
4c Applicant’s referee 3:
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: Click here to enter text.
Email: Click here to enter text.
Telephone: Click here to enter text.
PWI Member: Choose an item.
5.
The following documentation must supplied along with this Nomination Form
a. Resume (Curriculum Vitae)
Choose an item.
b. Statement of ambitions
Choose an item.
c. Description of project/paper/presentation
Choose an item.
d.(remember this will appear in the PWI Journal and on a very large screen) Current photo
Choose an item.
e. Summary of project/paper
Choose an item.
f. Letter of support
Choose an item.
g. Two referee reports, not just contact details for referees, (including one from your current
employer)
Choose an item.
If I am successful, I am willing to present a report on my conference attendance to a PWI Technical
Meeting.
Choose an item.
I declare that I am not a previous winner of this Award or similar such Awards e.g. RTAA Frank
Franklyn Award during the last five years.
Choose an item.
6.
If applicable
I have recently applied for the following other Rail Industry Award(s), that are still under
consideration with their relevant judges, which may be taken into account by the Judging Committee
Name of Rail Industry Award: Click here to enter text.
Date Submitted: Click here to enter a date.
Name of Rail Industry Award: Click here to enter text.
Date Submitted: Click here to enter a date.
SUBMITTING NOMINATION
☐ Nomination saved with the category title and nomination company/individual
☐ Supporting material attached
Applications must be provided in hard and electronic copy by Friday 21 April 2017.
Mail your hard copy to:
Mike Hickey
13 David Place
Peakhurst NSW 2210
Australia
Email electronic version to [email protected]