Please ensure you review the submission guidelines before completing this form – further information about the Faculty of Health Alumni Awards can be found at sydney.edu.au/health_sciences/alumni/awards
We encourage you to submit supporting documentation with your nomination. All nominations and supporting statements are confidential.
Only alumni (graduates of the University of Sydney), or University of Sydney students who have met their degree requirements may be nominated.
About you Title: _ _ First name: ____________________ Last name: ____________
(Prof, Dr, Mrs etc)
________________ State: _________ Postcode: ___________________ Phone: _________________ Email address: __________________________________________________________________ Address type: Home Work
(If applicable, list University of Sydney degree/s and graduation year or expected completion date)
Checklist For the nomination, I have included:
A statement outlining why your nominee is worthy of an Alumni Award. You should read the submission guidelines for the relevant award at sydney.edu.au/health_sciences/alumni/awards
Supporting documentation for these awards should include why you think your nominee is a worthy candidate. (Suggested word length 500 words).
Letters supporting the nomination from employers, distinguished members of the public, academic supervisors and other senior University staff are encouraged.
If available, documentary evidence such as newspaper clippings, copies of certificates, etc of your nominee's achievements and activities.
A curriculum vitae where available should also be included (however please do not include individual lists of journal publications, peer reviewed articles etc - this should just be summarised).
Closing Date for Nominations: 5pm Friday 25 March 2016 Please send nominations and supporting statements to: MARIA HUMPHREYS Manager, Alumni & External Engagement
Faculty of Health Sciences
The University of Sydney
75 East Street | Lidcombe | NSW | 2141
T +61 2 9351 9806 | F +61 9351 9863