University of Waikato Staff Awards
Early Career Academic Excellence
Award Nomination Form
Please use this form for all nominations, to ensure as far as possible that full and systematic consideration can be given by the Staff Awards
Committee to all nominations. Please use a separate form for each nomination and attach additional information as required. Forward the
completed form to Mike Bell, Professional & Organisational Development Unit (POD), no later than the last Friday in October.
N O MI N EE D ET A I L S
Full name:
Total years of experience:
Department/School:
Years on staff at the University of Waikato:
Note that nominees must be within the first seven years of their academic careers (i.e. within seven years of the year they were awarded
their PhD or equivalent).
N O MI NA TO R D E TA I LS
Please note that three nominators are required (you can list additional supporters in the OTHER SUPPORT section)
Name:
Department/School:
Name:
Department/School:
Name:
Department/School:
B A S IS F OR N O MI N A TI O N
Please provide a portfolio of supporting evidence and reflection addressing each area below in no more than 1500 words in total and attach it
to this form.
1. Academic Outputs: Examples and evidence demonstrating excellence in the nominee’s outputs across
the three areas of teaching, research and scholarship, and service and external activities 1
2. Peer Esteem: Statements from the nominee’s peers recognising an excellent academic contribution
3. Contribution to the Academic Environment: Evidence of the nominee’s contribution to a vital highquality academic environment, both within the University and beyond
C O NT EX T UA L FA C TOR S
Please provide information about the nominee’s research output, teaching and other commitments
1 Definitions of teaching, scholarship and research, and service and external activities may be found online at www.waikato.ac.nz/pod/staffawards under the
Categories of Staff Awards heading.
Early Career Academic Excellence Award Nomination Form - Staff Awards Committee – May 2016
Form SMA05
University of Waikato Staff Awards
Early Career Scholarship Excellence Award Nomination Form
OT H ER S U PP OR T
Please provide details of others who have been consulted and who support this nomination
I confirm that the nominated individual is suitable for an award.
Dean’s name:
Signature:
Date:
Please note that this nomination must be supported and signed by Dean of the nominee’s Faculty/School. The evidence provided in support of
this nomination will be used to select an Early Career Academic Excellence Award recipient.
Early Career Academic Excellence Award Nomination Form - Staff Awards Committee – May 2016
Form SMA05
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