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CHANCELLOR ROBERT HOPE MEMORIAL PRIZE

NOMINATION FORM 2005

The Chancellor Robert Hope Memorial Prize was established in 2004 by the University Council, and is named in honour of the University’s first Chancellor. The recipient of this annual award receives a prize of $10,000 as well as the Robert Hope Medal.

All persons graduating from the University of Wollongong with a Bachelor degree and at least 96 credit points from study at the University of Wollongong are eligible for the award. The Nominee must have made a substantial contribution to the University community and/or broader community, with consistent excellent academic performance.

Forms are to be completed and returned to the Academic Registrar by Friday 11 Nov 2005

 

Nominee Details 

 
 

Family Name

  

 

First Name

 

 

Student Number

  

 

Home Address

 

  

 

 

 

 

 

Email Address

  

 

Home Phone

 

 

Mobile

 

  

   

Nominator's Name

(Dean or Candidate)

 

  

 
   
   

Statement of Academic Achievements at University Of Wollongong

 

 

The university will provide an up-to-date transcript including Spring Session 2005. You should summarise your academic record and highlight your most notable achievements including such things as prizes and scholarships awarded, Dean's Merit lists, and so on.

 
 

 

Statement of Community Contributions

You should focus on service and achievements to the University and/or broader community, especially during the period in which you have been enrolled at the University. Examples of contribution to the University are to clubs and societies, student representative bodies, University/Faculty and Academic Unit committees, and residential colleges. There are no limiting constraints on what may be regarded as contributions to the University and broader community.

 

 

Additional Statement in Support of Nomination

 
 

Self-nominating candidates, or Deans nominating candidates, may make a brief further statement in support of the nomination.

 
 
 

   

 
 

Signature of Nominator:

 

 

Whether this is a self-nomination or a nomination by a Dean, the nominee should supply a written reference from both the Academic Referee and Community Referee with this application. Your assistance in providing the references with your application form will ensure that your application is considered in a timely fashion. It is the responsibility of the nominee to ensure that references are forwarded to the Academic Registrar.

Forms are to be completed and returned to the Academic Registrar by Friday 11 Nov 2005

Academic Referee

Community Referee

Name 

Name

Address

Address

 

 

Email 

Email

Phone

Phone 

   

Signed:

 

 

Robert Hope Memorial Prize Nominee

 
   

Last reviewed: 29 January, 2007 

 
   
 
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