For Organiser ’s use: Reference No.:
Received Date: Time:
Handled by
Notes to Applicant:

The applicant must live in Hong Kong for the past two years.

The applicant may select one or both of the two Award Categories ( Outstanding ICT Woman Professional or
Outstanding ICT Super Girl ).

The applicant must be eligible to the selected Award Category(-ies) ( Please refer to Appendix I for the eligibilities of the Award Categories).

Shortlisted applicants will be invited for an Assessment Interview in September or October 2015, and the most outstanding applicants will be invited for a Final Judging Session in October or November 2015.
(Remark: The Assessment Interview may be cancelled out when the no. of applications within the same category is low. In this case, short-listed candidate will directly proceed to the Final Judging.)

The Award Presentation Ceremony will be held in the Hong Kong Computer Society Gala Dinner to be held

The following document(s) should be submitted to HKCS Secretariat on/before the submission deadline (7
August 2015, 6:00pm):
(A) For Applicant of “Outstanding ICT Woman Professional” Category:
- Application Form
- CV with a photo
- Any supporting document
(B) For Applicant of “Outstanding ICT Super Girl” Category:
- Application Form
- Any supporting document

Submission method and address:
By email: face@hkcs.org.hk
By post: Hong Kong Computer Society, 5/F, Hong Kong Productivity Council, 78 Tat Chee Avenue, Kowloon
Tong, Hong Kong

An acknowledgement email will be sent to each application bearing a reference number within 2 working days via email. If an applicant does not receive the acknowledgement two working days after submission, please contact HKCS Secretariat at 2834 2228.
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)

PART I.
Please fill in your personal particulars.
Applicant name: (Eng)
Title: (Prof/ Dr/ Ir/ /Mrs/ Ms/ Miss)
(Chi)
Contact no.: Email address:
Award Category:
(please select ONLY one of the two award categories)
[ ] (A) Outstanding ICT Woman Professional
[ ] (B) Outstanding ICT Super Girl (aged 25 or below by 31 July 2015)
(A) For Applicant of “Outstanding ICT Woman Professional” Category
Job Position: (Eng) (Chi)
Company name: (Eng)
(B) For Applicant of “Outstanding ICT Super Girl” Category
(Chi)
School name: (Eng)
Teacher-in-charge: (Eng)
(Chi)
(Chi)
Contact no. of Teacher: Email address of Teacher:
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)

PART II.
Please fill in the blanks below with reference to the assessment criteria (Appendix II) of your selected Award Category in a simple, clear and concise fashion.
(A) For Applicant of “Outstanding ICT Woman Professional" Category
Brief Personal Profile (~150 words in English and ~150 words in Chinese)
(Eng)
(Chi)
1.
Professional Contribution to ICT Industry
2.
Leadership and Role
3.
Past ICT Achievements
4.
Community Contribution
5.
Other Relevant Information [optional]
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)

(B) For Applicant of “ Outstanding ICT Super Girl " Category
Brief Personal Profile (~150 words in English and ~150 words in Chinese)
(Eng)
(Chi)
1.
Community Contribution
2.
ICT-related Achievements and Innovative Use of ICT
3.
Active Participation in ICT Industry Activities
4.
Growth and Development
5.
Other Relevant Information [optional]
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)

PART III.
This part is to be completed by a nominator.
Nominator
Full name: (Eng) (Chi)
Title: Prof/ Dr/ Ir/ /Mrs/ Ms/ Miss
Occupation:
Relationship with nominee:
Duration of acquaintance:
Contact no.: Email address:
Please summarise the reasons why you, the nominator, believe that your nominee should be selected as one of the winners of the Outstanding ICT Woman's Award 2015:
PART IV.
Please suggest referee(s) and sign below.
Referees (Please list 1 to 2 referees that can provide the assessment team with the best information of your
ICT achievements.)
Referee 1
Name:
Email Address:
Tel No.:
Referee 2
Name:
Email Address:
Tel No.:
Authorisation
1. I hereby declare that the information given above is correct to the best of my knowledge.
2. I agree to publicize the above entry at the discretion of the Organiser and shall assist the Organiser in the associated publicity activities.
3. I agree that the Organiser and/or the Judging Panel have full authority to make final and binding decisions in all matters relating to the Awards, without any obligation to disclose or account for the reasons. I hereby waive my rights, if any, to apply, appeal or review against any such aforesaid decisions through judicial or administrative proceedings.
Signature of Applicant:
Name of Applicant: Date:
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)

(A) Outstanding ICT Woman Professional Category
Female
Aged 18 or above
Hong Kong resident
(B) Outstanding ICT Super Girl Category
Female
Aged 25 or below (by 31 July 2015)
Hong Kong resident
A full-time student of a local secondary or tertiary institution
-
Applicant can also apply for the other category “
Outstanding ICT Professional
”.
Remark: For applicants of both categories, the total no. of awards among the 2 categories is not limited.
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)

(A) Outstanding ICT Woman Professional Category
Assessment Criteria
Professional Contribution to ICT Industry

A consistent track record of contribution to ICT industry in uplifting professional standard of the industry over and above the call of duty throughout her career.

An exceptional contribution to ICT industry via industry development, young talent cultivation, and enabling others to succeed in the industry.

A contribution in making a difference in how ICT works in life, work and business.
Leadership and Role

Role, responsibilities, and demonstrated leadership in the success of her profession and the business of the organizations that she has worked for.

Upholding of corporate governance.

Professional morality and personal integrity.
Past ICT Achievements

Achievements in ICT projects or business demonstrated via quantitative and qualitative benefits and recognitions realized.

Achievements in developing ICT products / services in transforming industry trend or change industry practice; and/or creating good values to the society.

Personal development, achievements, recognitions, or awards received.
Community Contribution

Devotion of personal time and passion in activities for the betterment of the community.

Caring projects for targeted groups in community, such as youngster, elderly or under-privilege people.

Promotion of Corporate Social Responsibility in business arena.
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)
Weight
20%
20%
40%
20%

(B) Outstanding ICT Super Girl Category
Assessment Criteria
Community Contribution

Devotion of personal time and passion in activities for the betterment of the community.

Caring projects for targeted groups in community, such as youngster, elderly or under-privilege people.
ICT-related Achievements and Innovative Use of ICT

Own-developed projects or products for demonstrating innovative use of ICT

Creative thinking in ICT-related initiatives and motions.

Encouragement of others to use ICT in daily lives.

ICT-related recognitions or awards received.
Active Participation in ICT Industry Activities

Role of participation and personal contribution in various ICT industry activities.

Encouragement of peer group in participating in ICT industry activities.
Growth and Development

Personal growth planning.

Personal development initiatives and actions on continuous basis.
Weight
20%
40%
20%
20%
Outstanding ICT Women Awards 2015 – Application Form (ver. 2)