Hunter Medical Research Institute2016/17 RESEARCHER AWARDS

NOMINATION FORM

Closing Date: 5:00pm Monday 19th September 2016

Submission requirements:

1 x PDF Copy: A PDF version of the completed application (with signatures) 1 x Word Copy: A Microsoft Word version of the completed application

Submitted electronically only via email to: grants@hmri.org.au

Contact Details: Elianne RenaudPhone: 4042 0569Email: grants@hmri.org.au

Application text specifications:

1. All applications and related documentation must be submitted in 11pt Arial font.2. All applications must be submitted with single line spacing.3. Applications are to be submitted in black text. Coloured text may be used for images, graphs

and logos.4. PDF versions must be of a good quality and able to be read clearly by assessors.

General:

1. Nominations for awards and prizes need to be supported by referees prior to submission.2. Applications that are incomplete and/or do not meet the eligibility criteria will not be

considered.3. Applicants cannot apply for more than the available funding.

All awards and prizes will be announced at the HMRI Awards Night on 10 November 2016 at the HMRI Building

INFORMATION AND CRITERIA

Previous recipients of the Award for Research Excellence or Award for Early Career Research are not eligible to be nominated again for the same category. Previous winners of these awards and the areas of their research are indicated below:

Year HMRI Award for Research Excellence

Director’s Award for Mid-Career Research

PULSE Early Career Researcher of the Year

1998 - - Darren Shafren (Virology)

1999 Rob Sanson-Fisher (Behavioural Science)

- Vicki Clifton (Pregnancy & Asthma)

2000 Roger Smith (Premature Birth) - Jennette Sakoff (Cancer Cell Biology)

2001 Nik Bogduk (Chronic Neck Pain) - Pat Johnston (Brain Imaging)

2002 Peter Dunkley (Neurochemistry) - Geoff Isbister (Toxicology)

2003 Peter Gibson (Asthma) - Amanda Baker (Clinical Psychology)

2004 Dirk Van Helden (Electrophysiology)

- Xu Dong Zhang (Cancer Cell Biology)

2005 John Aitken (Reproductive Science)

- Peter Wark (Asthma)

2006 Jim Denham (Prostate Cancer) - Carmel Loughland (Schizophrenia)

2007 John Forbes (Breast Cancer) - Mark Parsons (Stroke)

2008 Rodney Scott (Cancer Genetics) - Jodie Simpson (Asthma)

2009 Chris Levi (Stroke) - Phillip Morgan (Physical Activity)Lisa Wood (Asthma)

2010 Paul Foster (Asthma) - Peter Greer (Radiation Cancer)

2011 Amanda Baker (Brain and Mental Health)

- Mark Baker (PRRP)

2012 John Attia (Public Health) - Luke Wolfenden (Public Health)

2013 Philip Hansbro (Asthma and Airways)

- Vanessa McDonald (Respiratory)

2014 Brian Kelly (Translational Mental Health)

Mark Parsons (Stroke) Chris Williams (Public Health)

2015 Julie Byles (Public Health)Phil Morgan (Physical Activity) Susan Hua (Nanotechnology for

pharmacology)

Nomination Form for Researcher Awards Page 2 of 8

HMRI Award for Research Excellence (1 x $20,000 available)

This award recognises and rewards the dedication and achievements of one of the Hunter’s most gifted researchers. The award carries a prize of $20,000 to be used to further the recipient’s research program.

Eligibility Criteria:

Employed by Hunter New England Local Health District and/or The University of Newcastle and/or Calvary Mater Newcastle

Currently working in the Hunter Conducted research in the Hunter for at least one year Research of excellence in any field of health and medical research

Assessment Criteria:

Written statement of nomination addressing the criteria of the award Nominee’s curriculum vitae (CV) Supporting documents such as references and testimonials Contributing to the improvement of human health Distinguished research record over at least the last five (5) years (with preference given to work

undertaken in the Hunter), recognised by: Publications in peer reviewed journals Peer reviewed grant success Invitation to deliver plenary and major lectures at national and international conferences Contribution to enhancing the research environment in the Hunter (e.g. team building,

mentorship, establishment of major research initiatives or capacity)

Director’s Award for Mid-Career Research (1 x $15,000 available)

This award recognises and rewards the dedication and achievements of one of the Hunter’s most gifted mid-career researchers. The award carries a prize of $15,000 to be used to further the recipient’s research program.

Eligibility Criteria:

Employed by Hunter New England Local Health District and/or The University of Newcastle and/or Calvary Mater Newcastle

Currently working in the Hunter Conducted research in the Hunter for at least one year Research of excellence in any field of health and medical research At the time of nomination, no more than fifteen (15) years (or full time equivalent) experience since

the award of their PhD or equivalent research/clinical qualification.

Assessment Criteria:

Written statement of nomination addressing the criteria of the award Nominee’s curriculum vitae (CV) Supporting documents such as references and testimonials Contributing to the improvement of human health Strong recent research record relative to opportunity (with preference given to work undertaken in

the Hunter), recognised by: Publications in peer reviewed journals Peer reviewed grant success Invitation to deliver plenary and major lectures at national and international conferences Contribution to enhancing the research environment in the Hunter (e.g. team building,

mentorship, establishment of major research initiatives or capacity)

NB: HMRI will take into account leaves of absences or career disruptions (such as for maternity leave and periods of part-time employment) when assessing the career stage if a researcher provides this

Nomination Form for Researcher Awards Page 3 of 8

information.

HMRI Award For Early Career Research (1 x $10,000 available)

This award recognises and rewards the dedication and achievements of one of the Hunter’s most gifted early career researchers. The award carries a prize of $10,000 to be used to further the recipient’s research program.

Eligibility Criteria:

Employed by Hunter New England Local Health District and/or The University of Newcastle and/or Calvary Mater Newcastle

Currently working in the Hunter Conducted research in the Hunter for at least one year Research of excellence in any field of health and medical research At the time of nomination, no more than five (5) years (or full time equivalent) experience since the

award of their PhD or equivalent research/clinical qualification.

Assessment Criteria:

Written statement of nomination addressing the criteria of the award Nominee’s curriculum vitae (CV) Supporting documents such as references and testimonials Likelihood of contributing to improvement in human health Substantial research record relative to opportunity recognised by:

Publications in peer reviewed journals Peer reviewed grant success Invitation to deliver plenary and major lectures at national and international conferences Contribution to enhancing the research environment in the Hunter (e.g. supervision of

students, mentoring, building research capacity)

NB: HMRI will take into account leaves of absences or career disruptions (such as for maternity leave and periods of part-time employment) when assessing the career stage if a researcher provides this information.

Nomination Form for Researcher Awards Page 4 of 8

This should be the first page of your application

Please tick relevant award/prize that you wish to nominate a person/yourself for:

HMRI Award for Research Excellence - $20,000

Director’s Award for Mid-Career Research - $15,000

HMRI Award For Early Career Research - $10,000

Nominee:

Address(Institutional):

HMRI Program:

Contact DetailsPhone:Email:

RefereesName:Address:Phone:Email:

(1) (2)

Referees should provide, in one page or less, support for the applicant in terms of the criteria outlined. One referee report can be submitted from the nominator. Please note that it is the sole responsibility of the nominator to ensure that referee reports and testimonials are received by the closing date.

Nominee’s Highest Academic Qualification (e.g. PhD ):

Year conferred:

Institution where degree was conferred:

IMPORTANT NOTE: Please attach current Curriculum Vitae of Nominee

Nomination Form for Researcher Awards Page 5 of 8

Report by Nominator

In the space below please provide a synopsis of the nominee’s contributions to health and medical research. You will need to indicate how the nominee meets the selection criteria.

Nominator Nominee

Name Name

Contact Phone Number

Email

Nomination Form for Researcher Awards Page 6 of 8

Report of Referee #1

In the space below, please provide a synopsis of the nominee’s contributions to health and medical research. You will need to indicate how the nominee meets the selection criteria.

Please include the name and contact details of the nominator and name of the Nominee. Additional testimonials can be submitted for the Award for Research Excellence. Alternatively, a letter can be provided by a Referee.

Nomination Form for Researcher Awards Page 7 of 8

Report of Referee #2

In the space below, please provide a synopsis of the nominee’s contributions to health and medical research. You will need to indicate how the nominee meets the selection criteria.

Please include the name and contact details of the nominator and name of the Nominee. Additional testimonials can be submitted for the Award for Research Excellence. Alternatively, a letter can be provided by a Referee.

Nomination Form for Researcher Awards Page 8 of 8