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INNOVATION

Land FORCES 2021 Innovation

LAND FORCES 2021 Young Innovator Award
 
ENTRY FORM
 
1. Name, Address and Date of Birth of Nominee:
Name:
Address:
Date of Birth:
 

2. Name and address of Nominee's Employer:
Name:
Address:
 

3. Declaration of Australian Citizenship:
 

4. Name, Job Title and Employer of Nominator:
(include phone number, email and postal address)
Name:
Job Title:
Employer:
Phone:
Email:
Postal Address:
 

5. Brief Description of Project on which Nominee worked:
Innovation can be described simply as something that is either new to the adopter or that changes the adopter’s circumstances and/or behaviour – and it may be a combination of all three. Please frame your description using this framework as guidance. (Attach additional pages if necessary - marked as Annexe A)
Upload Additional Information:
   

6. Description of Nominee’s Contribution to the Project:
(Attach additional pages if necessary - marked as Annexe B)
Upload Additional Information:
   

7. Description of Nominee’s Originality and Innovativeness in meeting the challenges of the project concerned:
(Attach additional pages if necessary - marked as Annexe C)
Upload Additional Information:
   

8. If successful, how will the Nominee use the Scholarship to advance his/her career?

(NB – the Nominee has the right, when approached, to decline the nomination for any reason he or she may choose. Deliberately falsifying data on the entry form will result in immediate disqualification)

 

9. Name and Approval of Authorised Nominee:
Name:
Job Title:
Date:
Acceptance:  

 

 

 

For enquiries about the Innovation Awards contact:

Gregor Ferguson
Executive Manager Innovation & Industry Engagement
gferguson@amda.com.au
Tel: 0414 803 717

For Media enquiries contact:

Philip Smart
Head of Industry and Corporate Communications
psmart@amda.com.au
Tel: 0438 311 644