RMIT School of Engineering – Alumni Awards nomination form
Page 1
Personal details
First name
Surname
Preferred name (optional)
Phone number
Email address
Select the engineering discipline to which you are most closely aligned.
Please select...
Aerospace Engineering
Biomedical Engineering
Chemical Engineering
Civil Engineering
Environmental Engineering
Electrical & Electronic Engineering
Mechanical & Manufacturing Engineering
Which RMIT School of Engineering degree(s) did you obtain, and which year(s) did you graduate?
Eg. Bachelor of Engineering (Hons) (Mechanical Engineering) – 2015. If you have obtained more than one degree from the School of Engineering, please list each degree on a separate line.
Page 2
Alumni Award nomination
Please select the Award Category for your nomination
Early Career Achievement Award
Mid Career Leadership Award
Distinguished Alumni Award
Referees
Please provide the details of two referees.
Referee 1
Full name
Phone number
Email address
Referee 2
Full name
Phone number
Email address
CV and personal statement
Please upload your CV (max. 5 pages) and personal statement (max.1,000 words) document.
Please note:
Your CV (max. 5 pages) and personal statement (max. 1,000 words) must be combined into one document (PDF or Word only)
Your personal statement will address your key achievements, impact and alignment with the Awards Criteria. Please refer to the
Award Guidelines (PDF)
for more details.
File name format:
please save your file with the following file name format
SurnameFirstname
Files must be under 10 MB
Upload CV/personal statement file.
Privacy
I have read and understand
RMIT’s Privacy Statement
.*
I confirm that I have permission to provide referee contact details for the purpose of this nomination.*
Contact Information