The Leading Infocomm and
Digital Media Professional Society in Singapore

NOMINATION FORM

IT LEADER AWARDS 2018 - NOMINATION FORM FOR YOUTH OF THE YEAR AWARD

RULE OF ELIGIBILITY: Nominee(s) should be aged 25 and below on or before 1 Jan 2018.

CANDIDATE'S PARTICULARS
Name

Sex
M    F
Company/ Institution/ School

Designation/ Educational standard

Mailing Address

Telephone
Email

Nationality

Date of Birth

Highest Educational Attainments

Please specify year of graduation & educational institution.
ABSTRACT OR SUMMARY OF INFOCOMM & MEDIA (ICM) ACCOMPLISHMENT/ RESEARCH/ PROJECT

The abstract/ summary should be presented in a manner that can be readily understood by a layman. Please limit the statement to 500 words. Use separate sheets if necessary.
DESCRIPTION OF CONTRIBUTION
How have you contributed significantly to the above mentioned accomplishment (eg: ICM competition, award, etc) and/ or the development of new or improved ICM-based learning resources, services or applications?
  • Is it an individual or group effort?
  • If it is a group effort, how big is the group and what is the role you played?
  • How much supervision and/ or external help have been received?


What is the impact of your contribution towards the establishment of new industrial technology and/ or the innovative use of existing technology to develop new or improved ICM-based learning resources, services or applications?
  • What are the existing tools, techniques or softwares used?


How have your contribution led to further joint ventures/collaboration with schools, institutes of higher learning and/ or community in Singapore (if any)?


DESCRIPTION OF OTHER ICM ACHIEVEMENTS/ AWARDS

Please indicate Title of Award/Competition, Position, Year & Organiser.
CANDIDATE'S DECLARATION

PROPOSER'S AND REFEREE'S PARTICULARS

Proposer (eg: employer, school principal or someone whom has considerable knowledge of the nominee's work)

Name

Designation

Company/ Institution/ School/ etc

Mailing Address

Telephone

Email

 

Referee (eg: supervisor, school teacher or someone whom has considerable knowledge of the nominee's work)

Name

Designation
Company/ Institution/ School/ etc
Mailing Address

Telephone
Email

PROPOSER'S AND REFEREE'S EVALUATION
For our reference, we would appreciate it if you can furnish your evaluation of the nominee's work. Your evaluation would be kept strictly confidential. You may want to adopt the following format for your evaluation.

Format For Evaluation
  1. Capacity in which you know the nominee.
  2. Duration for which you know the nominee.
  3. Present state of technology in the nominee's area of accomplishment/ research/ project.
  4. Impact of nominee's contribution/ accomplishment.
  5. Commercial value or potential commercial value of the nominee's work, if any.
  6. Future development of the nominee's work, if any.
  7. Any shortcoming in the nominee's work.
  8. Any information which is deemed important for Award consideration.


Important Notes : -
  1. Your nomination must reach us by 31 October 2017.
  2. Nomination form can be downloaded here. All nominations and information submitted will remain confidential.
  3. Shortlisted candidate may be called for an interview if necessary.
  4. Selection is made by a panel of distinguished judges drawn from business, public sector and academia. Decisions of the Panel are final.
  5. Each award recipient will receive a trophy with an accompanying citation at the SCS Gala Dinner to be held on 9 March 2018.
  6. For enquiry, please contact the IT Leader Awards Secretariat of the Singapore Computer Society at:

    Tel: 62262567,
    Fax: 62262569 or via
    Email: scs.secretariat@scs.org.sg.

The Youth of the Year Award is organised by the Singapore Computer Society (SCS) and supported by the Infocomm Media Development Authority (IMDA).

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