New Prize Form (Externally
Funded)
[Insert prize name]
Faculty / Division:
School:
PRIZE DETAILS
Prize components:
Cash, $
p.a.
$
by external contributor
$
by UNSW (if partly internally funded)
In-kind, please describe:
Number of prizes awarded annually:
First award ceremony:
(month & year), for student achievement in
(academic year)
SELECTION CRITERIA
Best performance in:
Other conditions:
No award shall be made in any year in which there is not a candidate of sufficient merit.
PRIZE ARRANGEMENTS
Beneficial fund – payment method and commitment term:
Annual payment for
years (payment will be requested in August prior to award)
Other:
Endowed fund – initial funding amount: $
EXTERNAL CONTRIBUTOR DETAILS
Contributor / organisation name:
ABN (if applicable):
Contact person (if applicable):
Address:
Email:
Position title:
Phone:
SOURCE OF CONTRIBUTION
Gift (donation) – subject to UNSW Gift Provisions (attached)
Sponsorship – Sponsorship Agreement is required
Bequest
Event based fundraising
INTERNAL TRANSFER DETAILS (if partly internally funded)
School:
Faculty / Division:
Project ID:
Fund code:
Department ID:
Approval from UNSW Finance attached to transfer from OP001 to FC101?
SIGNATURE
...............................................................................
[Signature]: Dean, Faculty of....
..............................................................................
[Signature]: Development Associate
This form is to be completed by: Development Manager
Yes
..........................................................
Name
.......................................................
Name
Grant
No
........................................
[Date]
.....................................
[Date]
Office Use
Please return signed copy to: UNSW Foundation Development Associate, Cc: prizes@unsw.edu.au
Disbursement of money from the Prize must be authorised by UNSW Foundation
Prize code: