ARC College of Experts 2017 Nomination Form All questions on this form are compulsory. Completed Nomination Forms, together with the completed Nomination Summary Spreadsheet must be submitted electronically by the nominee’s primary employer (an approved nominator or delegate), to the ARC via email at college@arc.gov.au by 5pm (AEST) Friday 22nd July 2016. Forms are not to be sent directly to the ARC by individual nominees. Please refer to the ARC College of Experts 2017 Nomination Kit for further details. Privacy note: Information collected on this form and its attachments is collected in order to make recommendations to the ARC’s CEO. The information collected may be passed to third parties for assessment purposes. In other instances, information contained in this Nomination form can be disclosed without your consent where authorised or required by law. Current Position and Personal Details Q.1 Title Q.2 First name Q.3 Second name Q.4 Surname Q.5 Position title Q.6 Department Q.7 Organisation Q.8 Q.9 Profile link from organisation’s website (if applicable) Email address Q.10 Preferred contact phone number Q.11 Gender Q.12 Aboriginal or Torres Strait Islander origin? (Yes/No) ARC College of Experts 2017 Nomination Form Page 1 of 4 Qualifications and Experience Q.13 Nominee’s qualification/s: Conferral Date AQF Level Degree/Award Title Discipline/Field Awarding Organisation Country of Award Q.14 Committee and assessor experience (including ARC/NHMRC or similar international positions): (Please use reverse chronological order – last five years) Year Year Committee name Organisation started finished Additional lines/entries are able to be added to the table. No limit on number on entries Fields of Expertise The ARC receives Proposals from a range of scholarly fields. Many are interdisciplinary with assessment normally sought from experts in different fields. As part of the assessment process College Members will be expected to assess some Proposals that are not in their area of specialist expertise. College Member’s views are valuable as they are sought on the entire project, drawing particularly on their specialised expertise in their field and generalist knowledge in related fields. Q.15 Main area(s) of specialised expertise: Q.16 Main area(s) of broad and generalist discipline knowledge: Q.17 List up to five of your principal 4-digit Field of Research (FOR) Codes for the above expertise: (These codes are available from the Australian Bureau of Statistics website or ABS Home Statistics > By Catalogue Number > 12. Classifications and work manuals > 1297.0 Australian and New Zealand Standard Research Classification (ANZSRC), 2008 > Contents > Fields of Research) 4-digit FOR Code 4-digit FOR Code Name 1. 2. 3. 4. 5. Interdisciplinary Expertise and/or capability Interdisciplinary research takes many forms: it includes an individual researcher using methodologies from an entirely different discipline, indicated by a substantially different six digit FoR code; to a ARC College of Experts 2017 Nomination Form Page 2 of 4 team of researchers from different disciplines collaborating to tackle a problem; to a researcher and end-user inventing and commercialising a new process that crosses disciplinary boundaries. Yes/No (if No, please proceed to Q.21) Q.18 Do you have interdisciplinary expertise and/or capability to assess Interdisciplinary research? Q.19 Please indicate whether your expertise is based on one or more of the following Project Leader of an Interdisciplinary Project Membership of an Interdisciplinary Project Team Understanding of Interdisciplinary Methodologies Q.20 Please provide the FoR combinations for which you have interdisciplinary expertise and/or capability Selection Criteria Q.21 At least four criteria must be addressed: Addressing criterion 1 is compulsory for nominees employed by higher education institutions. There is a maximum of 150 words of text per criterion. 1. Research excellence. Nationally and internationally recognised research achievements and expertise, as well as attracting grants from competitive granting bodies - nominees should be at the forefront of research in their area. This criteria is compulsory for nominees employed by a higher education institution. 2. Specialist disciplinary expertise and generalist discipline knowledge. Specialist expertise in a relevant disciplinary research area and general disciplinary knowledge in two or more discipline areas. 3. Professional and academic standing and reputation. Demonstrated high level of involvement in institutional/organisational roles and professional organisations. 4. Organisational and administrative leadership skills. Administrative experience and leadership, committee/team skills such as forward planning skills, advocacy skills and skills in the management of research; personal qualities of fairness, impartiality, integrity and the ability to work effectively under tight timeframes. ARC College of Experts 2017 Nomination Form Page 3 of 4 5. Relevant experience in industry or public sector organisations. 6. Experience in coordinating research activity including an understanding of the needs of end users in higher education, business and industry, both nationally and internationally. REFEREES Q.19 Provide details of up to three referees who can comment on your performance against the selection criteria. One referee must be your current supervisor: Full name Employment Organisation Contact number(s) Email address position NOMINATOR Q.20 Name Provide details of your approved nominator or delegate: Organisation Employment Contact number position Email address KNOWLEDGE OF PROCESS Q.21 How did you find out about the ARC College nomination process? (For example, ARC website, Institution, Newspaper, etc.) ARC College of Experts 2017 Nomination Form Page 4 of 4