<p> AUSTRALIAN INSTITUTE OF NUCLEAR SCIENCE AND ENGINEERING</p><p>Private Mail Bag 1, MENAI NSW 2234 Tel: 612 9717 3436 Fax: 612 9717 9268 Email: [email protected] Website: http://www.ainse.edu.au</p><p>AINSE GOLD MEDAL AWARD FOR EXCELLENCE IN RESEARCH NOMINATION FORM </p><p>The AINSE Council may award an AINSE Gold Medal for excellence in research according to the following criteria 1. The award shall be open to members and former members of the academic, scientific or technical staff of member institutions of AINSE, including post-doctoral research fellows, research assistants and students.</p><p>2. Up to four AINSE medals may be awarded each year, of which one medal is reserved for graduate students, including those who have recently completed their projects.</p><p>3. The AINSE Gold medal may be awarded jointly to collaborating researchers.</p><p>4. The AINSE Gold medal shall be awarded for research excellence, including publications with emphasis on recent work which acknowledges AINSE.</p><p>5. Nominations should be made to the Scientific Secretary of AINSE before 15 September by a member of the staff or member institution of AINSE and should include a short citation of achievement together with a list of appropriate publications and one copy of each publication.</p><p>6. Nominations shall be assessed by the appropriate AINSE Specialist Committee, who shall advise the Executive Committee, which shall make recommendations for the award of AINSE Gold Medals to the last AINSE Council Meeting of the calendar year.</p><p>DETAILS OF NOMINEE Title First Name Family Name</p><p>‘If nominating for the graduate student award, which includes students gaining PhDs no more than 12 months from the date of submission of this form, tick this box’ Phone Fax Email</p><p>CURRENT ADDRESS</p><p>CITATION</p><p>PUBLICATIONS with emphasis on recent work which acknowledge AINSE support (Please provide one copy of each and high-light the acknowledgment) Graduate students may include Conference Proceedings and Handbook Abstracts where the topic is clearly related to work carried out at ANSTO under an AINSE award</p><p>NOMINATOR Title First name Family name</p><p>Phone Fax Email</p><p>Member Institution Department and Address</p>