<p> Nomination Form for the Nanyang Award 2014 – MERITORIOUS ACHIEVEMENT (for former employees) Section 1 - Particulars of Nominee</p><p>Nominee Name* School/Dept/Office/Centre** 1 ______1 ______2 ______2 ______3 ______3 ______4 ______4 ______</p><p>* use one nomination form per nominee per Award. ** please indicate the nominee’s last School/Dept/Office/Centre before leaving NTU’s employ</p><p>Section 2 - Particulars of Nominator</p><p>Name: ______(If student, please also provide Matric No. or Registration Card No. ______)</p><p>School/Dept/Office/Centre ______(If student, please also provide year and course of study: ______)</p><p>Signature of Nominator: ______Contact Number: ______Date: ______</p><p>Instructions for submitting nominations: All sections and sub-sections of the nomination form must be completed. Submission with incomplete nomination form will be at a disadvantage as the Selection Panel may not be able to fully appreciate the value of the contributions made by the nominee.</p><p>Send the original signed nomination form and documentary evidence (if any) to support the nomination, directly to: Nanyang Award c/o Office of Human Resources. Your submission should also be emailed to [email protected]</p><p>All submissions must be received by 28 November 2014.</p><p>Section 3 - The Nomination</p><p>The evaluation of the nomination will be based on the following key criteria:  Impact – for contributions or accomplishments which created significant positive impact to the image, competitive edge, growth of the University or achieved excellence beyond the immediate organizational level.  Influence – for contributions or accomplishments which have created a positive influence to the University’s community and beyond, inspiring fellow colleagues, students as well as the community at large.</p><p>Section 3.1 Provide a description of the exemplary achievements, service and accomplishments over and above usual job responsibilities, and why they are significant.</p><p>Last Updated by OHR on 25 Sep 2014 - MA Section 3.2 Describe how the nominee has made an impact on the University’s vision and mission, and how the reputation/international standing of NTU is enhanced</p><p>Section 3.3 Describe how the actions, achievements and contributions of the nominee have inspired others.</p><p>Section 3.4 List any national, regional and/or international accolade and recognition received by the nominee.</p><p>Section 3.5 Provide any other information and attach documentary evidence (if any) to support the nomination.</p><p>Last Updated by OHR on 25 Sep 2014 - MA Page 2</p>