Please complete entry form on-screen and print out to send with your application.
Award category: (Please tick appropriate award category)
Automotive:
Manufacturing:
Automotive
Advanced Manufacturing
Building & Construction:
Metals & Engineering:
Services
Fabrication
Structures
Mechanical
Fitout and finish
Electrical:
Mineral Resources:
Electrical
Mineral Resources
Data
Mineral Resources
Mineral Resources
Hospitality, Tourism & Services:
Rural & Farming:
Cookery
Agriculture
Bakery
Horticulture
Hairdressing
Conservation and Land Management
Nominee’s personal details:
(Where a group or a team is involved, give details here for the co-ordinator or contact person,
and attach a separate sheet giving the same details for each team member).
Family name
Given names
Home Address
State
Postcode
Phone (work)
Phone (home)
Phone (mobile)
Email address
Name of workplace
Position / title
Address of workplace
State
Postcode
Nominator details:
(if different from the Nominee).
Name
Position / title
Name of workplace
Postal Address
State
Postcode
Phone (work)
Fax
Phone (mobile)
Email address
Professional relationship with candidate
Date
Signature of nominator :__________________________________________
Referee details:
Referee One:
Name
Position / title
Name of workplace
Workplace Address
State
Postcode
Phone (work)
Phone (mobile)
Email address
Referee Two:
Name
Position / title
Name of workplace
Workplace Address
State
Postcode
Phone (work)
Phone (mobile)
Email address
Marketing Personnel details:
Name
Position / title
Name of workplace
Postal Address
State
Postcode
Phone (work)
Fax
Phone (mobile)
Email address
Nominee Declaration: I acknowledge that I am a Nominee for The Institute for Trade Skills Excellence’s 2008 Trades and Skills Teacher of the Year Award; and
I agree to the conditions of entry listed in the award guidelines.
I am aware of the judging and presentation dates detailed in the guidelines for entry.
I agree that, if I am selected as a finalist or a winner, photographs and information from my nomination can be used for publicity purposes by The Institute for Trade Skills Excellence.
Signature of Nominee:___________________________________________________
Name
Date
Director or CEO Declaration: I support this nomination for The Institute for Trade Skills Excellence’s Trades Skills Teacher of the Year Award 2008.
Signature of Director or CEO of Nominee’s RTO:___________________________________________________
Name
Date
Nomination Entry Checklist:
Have you: Addressed the three selection criteria outlined in the award guidelines?
Fully completed the entry form, including:
Selecting the relevant award category?
Signature of Nominee?
Signature of Director or CEO?
Five copies of the whole nomination submission?
The Institute for Trades Skills Excellence would like to thank Victoria University for its
sponsorship
of the 2008 Trades and Skills Fit out and Finish Teacher of the Year Award.
The Institute also thanks Construction and Property Services Industry Skills Council for its sponsorship
of the Building & Construction Trades and Skills Teacher of the Year Award.
