Permanent Way InstitutionYoung Achiever AwardNomination Form

This Award is open to individuals who are:

a financial member of the Permanent Way Institution (PWI) NSW at the time of entry, and

under the age of 35 as at 1 January 2020.

Nominees will be judged by an independent panel appointed by the PWI on either a Technical paper that has been written (and preferably presented) or a Project or Program of Works that has been completed, within the last 18 months. There will then be a shortlisting where nominees will present their Technical paper or Project / Program of Works to the judges followed by a question and answer session

Nominees will be assessed on the following criteria:

1. Relevance to Perway 102. Difficulties Overcome 203. Quality of Paper and/or Presentation 204. Amount of Innovation 155. Ongoing benefit to the transport industry 256. Technical Excellence 10

Total Score/Marks: 100

NOTE: Previous winners of this Award (or similar such Awards, e.g. the RTAA Frank Franklyn Award) will be excluded from resubmitting an application for this Award for a period of no less than five years from the time of submitting their application for their winning Award.

The subject of the Award must relate to the Applicant’s current employer who will be required to provide a reference.

The successful Candidate will be required to submit a proposed itinerary for attendance at the proposed conference to the Judging Committee for endorsement, prior to funding being approved.

The successful Candidate will present at the next relevant Technical meeting or the Annual Convention, a summary of the attended conference and any associated industry visits.

Late or incomplete applications may incur a scoring penalty and will only be accepted at the discretion of the judging panel.

Please ensure you read through the PWI Rules and Procedures document before submitting a nomination. Please respond to the following questions to submit a nomination.

If you need assistance, please contact Julian Sharp via julian.sharp@cpbcon.com.au or 0437 638 398.

1. Permanent Way Young Achiever Award Nominee

Name: Click here to enter text.Date of Birth: Click here to enter a date.Position: Click here to enter text.Organisation: Click here to enter text.Email Address: Click here to enter text.Phone Number: Click here to enter text.Nationality: Click here to enter text.Residency Status: 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 Address: Click here to enter text.Phone Number: Click here to enter text.

3. Is the Nominee a Financial Member of the Permanent Way Institution of the NSW section?

Choose an item.

4. Applicant’s referees: (NOTE: minimum of two references, with one to be from current employer).

4a Applicant’s referee 1: 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.PWI Member: Choose an item.

4b Applicant’s referee 2: 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.PWI Member: Choose an item.

4c Applicant’s referee 3: 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.PWI Member: Choose an item.

5. The following documentation must supplied along with this Nomination Form

a. Resume (Curriculum Vitae) Choose an item.b. Statement of ambitions Choose an item.c. Description of project/paper/presentation Choose an item.d.(remember this will appear in the PWI Journal and on a very large screen) Current photoChoose an item.e. Summary of project/paper Choose an item.f. Letter of support Choose an item.g. Two referee reports, not just contact details for referees, (including one from your current employer) Choose an item.

If I am successful, I am willing to present a report on my conference attendance to a PWI Technical Meeting. Choose an item.I declare that I am not a previous winner of this Award or similar such Awards e.g. RTAA Frank Franklyn Award during the last five years. Choose an item.

6. If applicable

I have recently applied for the following other Rail Industry Award(s), that are still under consideration with their relevant judges, which may be taken into account by the Judging Committee

Name of Rail Industry Award: Click here to enter text.Date Submitted: Click here to enter a date.

Name of Rail Industry Award: Click here to enter text.Date Submitted: Click here to enter a date.

SUBMITTING NOMINATION

☐ Nomination saved with the category title and nomination company/individual

☐ Supporting material attached

Applications must be provided in hard and electronic copy by Friday 17 April 2020.

Mail your hard copy to:

Julian SharpCPB ContractorsLevel 2, 177 Pacific HighwayNORTH SYDNEY NSW 2060AUSTRALIAEmail electronic version to julian.sharp@cpbcon.com.au