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Young Rail Professional AwardNomination Form
IMPORTANT: Carefully read the ‘Young Rail Professional Award Criteria and Instructions’ before completing this form.
1. Young Rail Professional Award 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. 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: Click here to enter text.Telephone: Click here to enter text.
3. The nominee had no more than 10 year’s working experience in the rail environment, as of 1 January 2020
☐ Yes ☐ No
4. How long has the nominee worked in the rail industry and what positions have they held?
Click here to enter text.
5. During their time in the rail industry, what notable projects/activities has the nominee initiated and/or led?
Click here to enter text.
6. What did the nominee’s involvement provide for the activity/project?
Click here to enter text.
7. What did these projects/activities achieve for the organisation/rail industry? Please provide figures if possible and appropriate
Click here to enter text.
8. In 200 words or less, why should the nominee receive the Young Rail Professional Award?
Click here to enter text.
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 17 April 2020
☐ 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 events@ara.net.au
For assistance contact events@ara.net.au 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.
Click here to enter text.
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.
RTSA communications database:
Your details will be added to the RTSA communications database to receive communications from the RTSA, if you do not wish to receive the communications, please tick the box below
☐ I do not wish to be added to the RTSA communications database to receive communications from the RTSA
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