entry form: lifetime achievement

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2015 PACE ZENITH AWARDS
ENTRY FORM: LIFETIME ACHIEVEMENT
Please complete the following form to nominate a person for the Lifetime Achievement Award.
This award will be presented to a person who has worked in process control or automation for a
minimum of 25 years, and in a senior position, supervisory or technical leadership role for a minimum of
10 years.
Judges will award marks based on:
o added value to the company
o added value to the process control/automation community
o demonstrated innovation
o quality of results
o completed projects
o demonstration of initiative
Person Nominated:
(Please write the exact name to be used on certificates, trophies and in promotional material – limit to
50 characters including spaces)
Position Title:
Company:
Suburb:
City:
State & Postcode:
Employment History
Job Title | Company |
Period:
Job Title | Company |
Period:
Job Title | Company |
Period:
Job Title | Company |
Period:
Job Title | Company |
Period:
Job Title | Company |
Period:
Nominee’s Birth Date:
(mm/yyyy)
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Nominated by: Name:
Phone/Mobile:
Email:
Contact address:
Please supply a brief overview of the business (location, market, products, size).
(Suggested maximum 400 words)
Please supply a brief overview of the person’s key job function and responsibilities.
(Suggested maximum 300 words)
Please describe how the person has added value to the business (demonstrated innovation and
creativity, delivered results, completed projects, made savings, added to the bottom line, benefited the
engineering community).
(Suggested maximum 300 words)
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Please outline outstanding achievements the person has achieved in the wider process control and
automation community.
(Suggested maximum 300 words)
Please attach a high resolution photograph of the person being nominated.
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MAILING DETAILS
Nominations can be submitted via email to PACE at awards@pacetoday.com.au
Hard copy material to support your nomination may be sent to PACE Editor Kevin Gomez:
Mail:
Courier:
PACE Zenith Awards
Attn: Kevin Gomez
Locked Bag 2999
Chatswood DC
NSW 2067
Kevin Gomez
PACE Zenith Awards
Cirrus Media
Tower 2, Level 3
475 Victoria Avenue
Chatswood, NSW 2067
Checklist
Have you included
Colour photographs of person being nominated (high-resolution, minimum 300 dpi)
We look forward to receiving your entry!
Important Information:
Please note that your contact details may be disclosed on a limited basis to sponsors to promote
information relevant to your business. You have the opportunity to opt-out of these communications at
any time. Please tick here
to opt-out.
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