Vice-Chancellor's Culture & Values Award
Nomination Template (Self-nomination)
About
The VC’s Culture & Values Award recognises a Swinburne employee who continuously makes a significant contribution to
Swinburne's community and culture through their high-quality work and collaborative attitude.
About applying
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There will be one winner selected for this Award category.
Applications are welcome from both Academic and General (non-Academic staff) across all campuses.
You may self-nominate or you can nominate a colleague.
Selection criteria
1.
Outline how you feel that the nominee demonstrates at least one of the following:
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2.
Demonstrated outstanding service, reliability, and commitment to Swinburne.
A willingness to help out others as needed, above and beyond their normal duties.
Known for positive and collaborative working relationships with fellow staff and/or students or
internal/external customers.
Inspires and encourages others to continuously improve the experience of fellow staff, students, and
internal/external customers with Swinburne.
In your own words, describe how the individual personifies and regularly exhibits Swinburne’s Values in their work and
interactions with others. There are as follows:
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Innovation: We thrive on leading through our educational excellence, business and research innovation and
creativity in solving real-world problems.
Integrity: We expect honesty and highest ethical standards in everything that we do.
Accountability: We are accountable to ourselves, each other and each other and the communities we serve
through transparency and evidence-based decision making.
Diversity: We celebrate and respect the strength that difference creates.
Teamwork: We encourage collaboration that underpins success through mutual respect, open
communication and the sharing of responsibility.
Sustainability: We foster positive social, educational and environmentally sustainable change
Preparing your nomination
In 2014, all VC’s Awards nominations will be submitted online, however, we strongly recommend that you prepare your answers
in advance using this document. You will then be able to copy and paste your answers from your Word document into the online
form. This will prevent you losing your work in the unlikely case of an internet connection disruption during the submission
process.
For tips on how to prepare an effective award nomination, see the VC's Awards website.
Checklist
Before submitting your nomination online, please make sure that you:
 Have checked that all your answers are within the specified word limit as the online program will not allow you
submit answers which exceed the specified word/character limits.
 Have all the information you need on-hand before you begin you submission process (team names,
references/recommendations, relevant dates, etc.)
 Have prepared your answers in plain text only and you have not including any special formatting, graphs or images as
the online program will not be able to incorporate these.
 Have referenced/quoted any supporting evidence as part of your answer rather than as separate document. Note that
the program will not allow you to attach other documents to your nomination (e.g. reference letters, journal articles or
other attachments).
 Have obtained any approvals required for your nomination, including endorsement statements and the sign-off from
your Head of Department/Dean/Senior Executive Director.
Your details (for self-nomination)
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Surname:
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First name(s):
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Title:
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Area/Department:
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Phone number:
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Email:
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Have you been the recipient of a Swinburne VC's Award in previous years? (Yes/No)
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If yes, please note the year you received this award and the award category / title:
Year:
Award title:
Summary of contribution (self-nomination)
Please provide a brief statement which summarises your initiative/contribution in 50 words or less.
Outline how you feel that you demonstrate at least one of the following:
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Demonstrated outstanding service, reliability, and commitment to Swinburne.
A Willingness to help out others as needed, above and beyond their normal duties.
Known for positive and collaborative working relationships with fellow staff and/or students or
internal/external customers.
Please note that this section is restricted to 500 words/3000 characters or less.
In your own words, briefly describe how you personify and regularly exhibit Swinburne's Values in your work and
interactions with others. These are as follows:






Innovation: We thrive on leading through our educational excellence, bisuness and research innovation
and creativity in solving real-world problems.
Integrity: We expect honesty and the highest ethical standards in everything we do.
Accountability: We are accountable to ourselves, each other and the communities we serve through
transparency and evidence-based decision making.
Diversity: We celebrate and respect the strength that difference creates.
Teamwork: We encourage collaboration that underpins success through mutual respect, open
communication and the sharing of responsibility.
Sustainability: We foster positive social, educational and environmentally sustainable change.
Please note, this section is restricted to 500 words/3000 characters or less.
Endorsement (for self-nomination)
All self-nominations require an additional endorsement from someone other than yourself. This is in addition to
the approval and endorsement statement from your Head of Department/Dean/Executive Dean/Area Director that
is required for every nomination submission.
Please provide the name, details and endorsement statement in the space provided below.
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Full name of endorser:
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Title:
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Email of endorser:
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Statement of support by endorser (please limit response to 100 words or less):
Confirmation
I confirm that I have the authorisation of the above individual to submit the endorsement statement provided, I
confirm that I have provided them with full and accurate details of me nomination and that they may be contacted
to verify their statement (you will be asked to confirm this in your online form).
Approval
Please provide the details of the Head of Department/Dean/Executive Dean/Executive Director or equivalent area
leader that has approved your nomination, including their statement of approval/endorsement.
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Name:
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Title:
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Email:
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Statement of approval/ endorsement of nomination: (limit response to 100 words or less)
Confirmation
I confirm that I have the authorisation of the above individual as Head of Department/Dean/Executive
Dean/Executive Director or equivalent area leader to submit this nomination, I confirm that I have provided them
with full and accurate details of my nomination and that they may be contacted to verify their nomination approval
(you will be asked to confirm this in your online form).
Final confirmation
Nominator confirmation
I hereby confirm all that the information contained in this document is true and accurate and that I have obtained
all required endorsements, approvals and authorisations for this nomination. I also confirm that I have notified all
individuals mentioned in this form about this nomination including individual nominees and those being
nominated as part of a team (you will be asked to confirm this in your online form).