NOMINATION FORM VICTORIAN MANUFACTURING HALL OF FAME YOUNG MANUFACTURER

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Nomination for: Induction into the Victorian Manufacturing Hall of Fame


NOMINATION FORM

VICTORIAN MANUFACTURING HALL OF FAME

YOUNG MANUFACTURER OF THE YEAR

(Individual Award)



This award recognises an outstanding young individual working in the manufacturing sector.


The judging criteria is weighted across promotion of manufacturing excellence, contribution to the manufacturing sector and/or organisation, quality management initiatives, education and training, and contribution to the community.


The individual must be aged under 35 years at the date of the awards ceremony.


Nominations must be filled out in full and submitted to the Victorian Manufacturing Hall of Fame Secretariat by Monday, 23 February 2015. Only typed entries will be accepted.


NOMINEE

Individual


Title


Organisation


Business Address


Telephone number


Email address


Age (or Date of birth)


Highest Level of Education Achieved Qualification, Education Provider, year completed)


List current studies (if any)


List other studies or training undertaken


In recognition of the individual achieving



Manufacturing initiatives


Contribution to the community






Nominee’s bio (up to 500 words) nominee)

(** Please note that this information may be used for media releases or for preparation of collateral)























Images

Submit with your application 2x high resolution photographs of the nominee



DECLARATION BY NOMINATOR


The nominating entity, as a condition of recommending the above person, confirms it has satisfied itself that the nominee is of good repute and has not been convicted of breach of WorkCover, Trade Practices Act, Environmental Protection Act, Equal Opportunity Act or other State or Federal laws within the previous 12 months or if convicted have not had imposed on any of them a penalty of more than $10,000 for any such breach.


I hereby declare that the information provided in this nomination is correct at the time of submission and that the individual I have nominated is employed within the State of Victoria, Australia.

Signature


Name in full


Title


Organisation


Mobile Telephone Number


Email address


Date



Please mail or email the completed nomination form, images and any supporting material to Alison O’Keefe, Industry Programs Branch, Department of Economic Development, Jobs, Transport and Resources, Victoria 3001 or by email to Victorian Manufacturing Hall of Fame Secretariat [email protected] by the close of business, Monday, 23 February, 2015.

The Victorian Manufacturing Hall of Fame has been established to publicly acknowledge excellence in Victorian manufacturing and to promote this excellence to a global industrial market and the general public.

CONDITIONS

  1. Individuals nominated for Victorian Manufacturing Hall of Fame Young Manufacturer of the Year must have demonstrated experience, achievement and commitment within Victoria in a manufacturing plant or a specialist design service provider to the Victorian manufacturing industry or as a service provider to the Victorian manufacturing industry including contributions to industry associations.

  2. Nominations for individuals for the Victorian Manufacturing Hall of Fame Young Manufacturer of the Year Award will only be accepted from:

    1. Incorporated Australian industry associations

    2. Companies that wish to nominate employees.

    3. Other industry entities approved by the Minister

  3. Outstanding achievement can relate to any facet of manufacturing for example marketing, work safety, design, technology, supply chain management, professional services etc.

  4. Any individual recognised by the Victorian Manufacturing Hall of Fame, who is, after recognition, convicted of any criminal offence or legislative breach may be asked to show cause as to why they should not have their recognition revoked and be required to remove any reference to the Hall of Fame recognition by the Victorian Government. The Minister will then decide in her absolute discretion whether the individual will have the award revoked.

  5. Nominations will be judged by an industry panel.

  6. The Minister’s decision on the eligibility of individuals being nominated, the entities nominating them or the provision or revocation of recognition is final and no correspondence will be entered into.

  7. The individual nominated agrees to have their name associated with the Victorian Manufacturing Hall of Fame and promoted within the media and on the Victorian Manufacturing Hall of Fame website.

  8. The nominations for the Young Manufacturer of the Year will be judged by an industry panel.

  9. The 2015 Young Manufacturer of the Year will be announced at the 2015 Victorian Manufacturing Hall of Fame Gala Dinner to be held on Monday, May 26, 2015 at the Palladium Ballroom, Crown Entertainment Centre.

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13 GUIDELINES FOR PREPARING DISTRICT NOMINATIONS FOR THE NATIONAL
1A – NOMINATION PAPER OFFICE USE ONLY LOCAL GOVERNMENT
2 NOMINATIONS CALLED FOR MARTHA GOLDSMID MEMORIAL BURSARY THE


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