Stage 2 Nomination Form

The Prime Minister’s Prizes for ScienceVersion February 2020

This document shows the questions included in the online application form for the Prime Minister’s Prizes for Science 2020 grant opportunity. It will help you prepare your responses and the mandatory attachments you need before you apply online.

Do not use this document as your application form. You will need to submit an application using the online form once the Prime Minister’s Prizes for Science grant opportunity is open to applications.

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Instructions

About the Prime Minister’s Prizes for Science

The Prime Minister’s Prizes for Science are Australia’s most prestigious and highly regarded awards for outstanding achievements in scientific research, research-based innovation and excellence in science teaching.

The Prizes recognise the achievements and success of Australian scientists and innovators to both Australia and internationally, as well as the critical role science educators play in inspiring and encouraging students to take an interest in science and consider science as a career.

Through the Inspiring Australia – Science Engagement Programme (the program), the Prizes will award up to $750 000 each year for outstanding achievements in science, research-based innovation and excellence in science teaching.

There are five prizes for science and innovation (referred to as the Science Prizes) and two prizes for science teaching (referred to as the Science Teaching Prizes).

Use this form to submit your Stage 2 nomination.

Completing this form

If you are submitting a nomination for one of the Science Prizes, please read the Prime Minister's Prizes for Science - Science Prizes Guidelines before filling out this nomination form.

If you are submitting a nomination for one of the Science Teaching Prizes, please read the Prime Minister's Prizes for Science - Science Teaching Guidelines before filling out this nomination form.

Disclosure of personal and confidential information

The Commonwealth’s use and disclosure of both your personal and confidential information (provided in this nomination or otherwise) is set out in the Prime Minister’s Prizes for Science – Science Prizes Guidelines and the Prime Minister’s Prizes for Science – Science Teaching Prizes Guidelines.

Ensure that you have read the relevant guidelines and understand the information contained therein. For further information regarding the Department of Industry, Innovation and Science’s (the department’s) obligations in accordance with the Privacy Act, refer to the department’s Privacy Policy1.

Getting help

If you require assistance completing this nomination form please contact us on 13 28 46 or at business.gov.au. Our website and staff can help you with forms, finding information and services and allow you to provide feedback.

You should also read and understand the Guidelines for your chosen prize before commencing your nomination. Prime Minister's Prizes for Science - Science Prizes Guidelines and Prime Minister's Prizes for Science - Science Teaching Guidelines are published at business.gov.au.

1 https://industry.gov.au/Pages/PrivacyPolicy.aspx

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Submitting your nomination

Nominations for Stage 2 may be submitted up until 5.00pm AEST on 27 May 2020.

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A. Contact details

A.1. Details of Nominator

(Note: You must provide at least one phone or mobile number. Other than title, all the remaining fields below are mandatory unless stated otherwise.)

Provide details of the nominator.

Title      

Given name      

Family name      

Post-nominals      

Organisation name      

Position title      

Phone number      

Mobile number      

Email address      

Provide the postal address of the nominator.

Address      

Suburb/ town      

State/ territory      

Postcode      

Country

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B. Eligibility

B.1. Eligible nominations

This section will help you determine whether you are eligible to submit a nomination.

You are required to answer all questions in this section.

Were you invited to participate in Stage 2 of the Prime Minister’s Prizes for Science nomination process?

Only short-listed nominations can submit a Stage 2 nomination.

yes no

If you have answered ‘yes’ to the question above you are eligible to submit a nomination.

For further information regarding eligibility requirements for this programme refer to Prime Minister's Prizes for Science - Science Prizes Guidelines and Prime Minister's Prizes for Science - Science Teaching Guidelines .

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C. Nomination Details

C.1. Which prize are you making a nomination for?

The Prime Minister’s Prize for Science

The Prime Minister’s Prize for Innovation

The Malcolm McIntosh Prize for Physical Scientist of the Year

The Frank Fenner Prize for Life Scientist of the Year

The Prize for New Innovators

The Prime Minister’s Prize for Excellence in Science Teaching in Primary Schools

The Prime Minister’s Prize for Excellence in Science Teaching in Secondary Schools

C.2. Nominee Details

Title      

Given name      

Family name      

C.3. Evidence of nominee’s Australian citizenship or permanent residency

Please upload certified evidence of the nominee’s Australian citizenship or permanent residency.

This must be saved in the format lastname_firstname_cpr

Is your document certified?

This attachment needs to be certified. For further information refer to business.gov.au

yes no

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C.4. Nominees Testamur

Please upload a certified copy of the Nominee’s testamur (for Frank Fenner, Malcolm McIntosh and Prize for New Innovators only)This must be saved in the format lastname_firstname_testamur.

Is your document certified?

This attachment needs to be certified. For further information refer to business.gov.au

yes no

D. Achievement

D.1. Achievement statements

Please attach statements from the nominator and the two supporters independently addressing the relevant assessment criteria.

Each statement must be on the template provided on business.gov.au, observing the word limits applicable to nominators and supporters.

on the letterhead of the author’s organisation and specify their position within the organisation.

a searchable document so have optical character recognition (OCR) or be saved as .doc

or .docx.

Use of an electronic signature will allow the statement to remain an OCR searchable document.

If the nominator or a supporter does not have an electronic signature available, and cannot provide an OCR searchable statement, you must also email a signed and scanned version of the statement to the IAScience@industry.gov.au mailbox.

Supporters may submit their statements independently by emailing them to IAScience@industry.gov.au. Statements must be received by the closing date. If one or both or your supporters has submitted their statement independently, please tick this box.

Statements must be saved using the name of the nominee in the following format: lastname_firstname_nom, lastname_firstname_supp1 and lastname_firstname_supp2.

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Are you attaching the supporter 1 statement?

Supporters may submit their statements independently by emailing them to IAScience@industry.gov.au. Statements must be received by the closing date. If supporter 1 has submitted their statement independently, please select No.

This is a mandatory attachment unless the supporter has submitted their statement independently.

Please ensure your supporters are made aware of the template, word limit and timing requirements for submitting their statements.

yes no

Are you attaching the supporter 2 statement?

Supporters may submit their statements independently by emailing them to IAScience@industry.gov.au. Statements must be received by the closing date. If supporter 2 has submitted their statement independently, please select No.

Please ensure your supporters are made aware of the template, word limit and timing requirements for submitting their statements.

yes no

D.2. Publications

This section is only for the PM’s Prize for Science, the PM’s Prize for Innovation, the Malcolm McIntosh Prize for Physical Scientist of the Year, the Frank Fenner Prize for Life Scientist of the Year and the Prize for New Innovators (i.e. the Science Prizes only).

You must provide four publications or patents that best describe the nominee’s achievement. Please attach these below.

If any of your publications are books, you will need to write a cover letter including the names of the nominator and nominee/s and post them to:

Program ManagerPM’s Prizes for ScienceDepartment of Industry, Innovation and Science GPO Box 2013 Canberra ACT 2601 Publications must be saved using the name of the nominee in the following format: lastname_firstname_pub1, lastname_firstname_pub2, etc.

Attach the publication. If the publication is a book, attach a cover letter including the names of the nominator and nominee/s and post the book to the address supplied.

D.3. List of published articles/books

This section is only for the PM’s Prize for Science, the PM’s Prize for Innovation, the Malcolm McIntosh Prize for Physical Scientist of the Year, the Frank Fenner Prize for Life Scientist of the Year and the Prize for New Innovators (i.e. the Science Prizes only).

Please attach a list of published articles and/or books directly relevant to the nominee’s achievement.

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Where the nominee is a joint author, the citation should note if the nominee was the principal author or not. If the nomination is for a team, the papers must be co-authored by the majority of the team.

It must be saved using the name of the nominee in the following format: lastname_firstname_list.

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E. Supporting documents

You should note any supporting documentation that you attach to the nomination here.

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E.1. Attachment 01 – Statement from nominator

Part of nomination form Type of attachments Attached?

Part C1 – Statement from nominator

A statement from the nominator addressing the assessment criteria.

This is a mandatory attachment.

yes

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E.2. Attachment 02 – Statement from supporter 1

Part of nomination form Type of attachments Attached?

Part C1 – Statement from supporter 1

A statement from supporter 1 addressing the assesssment criteria.

This is a mandatory attachment unless the supporter has submitted their statement independently.

yes

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E.3. Attachment 03 – Statement from supporter 2

Part of nomination form Type of attachments Attached?

Part C1 – Statement from supporter 2

A statement from supporter 2 addressing the assessment criteria.

This is a mandatory attachment unless the supporter has submitted their statement independently.

yes

E.4. Attachment 04 – Publications

Part of nomination form Type of attachments Attached?

Part C2– Publications Copies of four publications or patents that best describe the nominee’s achievement.

This is a mandatory attachment for the Science Prizes only. Four publications must be attached, unless any publications are books in which case they should be posted to the address supplied at C2.

yes

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E.5. Attachment 05 – list of published articles and/or books

Part of nomination form Type of attachments Attached?

Part C3 – List of published articles/book

A list of published articles and/or books directly relevant to the nominee’s achievement.

This is a mandatory attachment for the Science Prizes only.

yes

E.6. Attachment 06 – Evidence of nominee’s Australian citizenship or permanent residency

Part of nomination form Type of attachments Attached?

Part C3 – Evidence of nominee’s Australian citizenship or permanent residency

Must be certified

This is a mandatory attachment for the all prizes

yes

E.7. Attachment 07 – Nominees Testamur

Part of nomination form Type of attachments Attached?

Part C4 – Nominees Testamur

Must be certified

This is a mandatory attachment for the Science Prizes - Frank Fenner, Malcolm McIntosh and Prize for New Innovators only

yes

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F. Nominator declaration

F.1. Privacy and confidentiality provisions

I acknowledge that this is an Australian Government program and that the department will use the information I provide in accordance with the following

Australian Government Public Data Policy Statement Commonwealth Grants Rules and Guidelines. Prime Minister's Prizes for Science - Science Prizes Guidelines or Prime Minister's Prizes for

Science - Science Teaching Guidelines whichever is applicable applicable Australian laws.

Accordingly, I understand that the department may share my personal information provided in this application within this department and other government agencies:

a. for purposes directly related to administering the programme, including governance, research and the distribution of funds to successful nominees and

b. to facilitate research, assessment, monitoring and analysis of other programs and activities

unless otherwise prohibited by law.

I understand that information that is deemed ‘confidential’ in accordance with the guidelines may also be shared for a relevant Commonwealth purpose.

The department will publish information on individual grants in the public domain, including on the department’s website, unless otherwise prohibited by law.

F.2. Nominator declaration

I declare that I have read and understood the Guidelines, including the privacy, confidentiality and disclosure provisions.

I declare that the information contained in this nomination together with any statement provided is, to the best of my knowledge, accurate, complete and not misleading and that I understand that giving of false or misleading information is a serious offence under the Criminal Code 1995 (Cth).

I acknowledge that I may be requested to provide further clarification or documentation to verify the information supplied in this form and that the department may, during the nomination process, consult with other government agencies, including state and territory government agencies, about the nominator’s claims and may also engage external technical or financial advisors to advise on information provided in the nomination.

I acknowledge that if the department is satisfied that any statement made in a nomination is incorrect, incomplete, false or misleading the department may, at its absolute discretion, take appropriate action. I note such action may include excluding a nomination from further consideration; withdrawing a prize; using the information contained in the nomination for a fraud investigation that would be consistent with the Australian Government’s Investigations Standards and Commonwealth Fraud Control Framework and for management purposes and/or recovering funds already paid.

I agree to participate in the periodic evaluation of the services undertaken by the department.

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I declare that I am authorised to complete this form and acknowledge that by including my name in this nomination I am deemed to have signed this nomination.

I approve the information in this nomination being communicated to the department in electronic form.

By checking this box I agree to all of the above declarations and confirm all of the above statements to be true

F.3. Signature

Name of signatory      

Email address of signatory      

Date      

Signature

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Appendix A – Text for C1 Achievement Statements Section

Prime Minister’s Prize for Science

Assessment criterion 1 - Demonstrated original and in-depth research effort

You should demonstrate this by identifying:

a. the originality and depth of the research effort involved in the nominated achievement.

For team nominations also describe:

each member’s contribution

the benefits of the collaboration

why the prize should be jointly awarded.

Assessment criterion 2 – Demonstrated impact

You should demonstrate this by identifying:

a. the achievement’s impact on its field of science, and where appropriate, more broadly.

Prime Minister’s Prize for Innovation

Stage 2, Assessment criterion 1 – Demonstrated pathway to commercialisation through innovation

You should demonstrate this by identifying:

a. the key research and development efforts involved in innovatively translating scientific knowledge into a commercially available product, process or service that has had substantial economic, social, and where relevant, environmental benefits

b. the research and innovation pathway to the final product, process or service and its commercialisation, including:

the roles and contributions of those involved

any patents granted or applied for.

For team nominations also describe:

each member’s contribution to the development of the innovation and its commercialisation

the benefits of the collaboration

why the prize should be awarded jointly.

Stage 2, Assessment criterion 2 – Demonstrated value and benefit to Australia

You should demonstrate this by identifying:

a. the direct and indirect economic, social, and where relevant, environmental benefits of commercialisation such as:

capital investment and employment outcomes for Australia

the value of sales

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tax revenues

royalty streams to the host research organisation

new partnerships and synergies

the value of its public good.

b. other benefits of the innovation process such as:

pathways for further research and development on both the commercialised product, process or service and other potential outcomes

the number of PhD students involved in the research programs

any unexpected outcomes realised through the innovation and product, process or service development processes.

Malcolm McIntosh Prize for Physical Scientist of the Year

Assessment criterion 1 – Nature of the research achievement

You should demonstrate this by identifying:

a. the originality and impact of the achievement within its field of science.

Assessment criterion 2 – Benefit or potential for benefit, to human welfare or society

You should demonstrate this by identifying:

a. the application of the research achievement.

Frank Fenner Prize for Life Scientist of the Year

Assessment criterion 1 – Nature of the research achievement

You should demonstrate this by identifying:

a. the originality and impact of the achievement within its field of science.

Assessment criterion 2 – Benefit or potential for benefit, to human welfare or society

You should demonstrate this by identifying:

a. the application of the research achievement.

Prize for New Innovators

Assessment criterion 1 – Nature of the innovation achievement

You should demonstrate this by identifying:

a. the research and development and innovation involved in translating scientific knowledge into a commercial product, process or service including:

the pathway leading to the development and commercialisation of the product, process or service

the role of the nominee in the process

whether any patents were granted or applied for

the originality and impact of the achievement within its field of science.

We will consider the innovation, underlying research and trial pathway equally important.

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Assessment criterion 2 – Value and benefit to Australia

You should demonstrate this by identifying:

a. the application of the innovation and its benefits, including substantial progress towards commercialisation and any direct and indirect economic, societal and environmental benefits.

Prime Minister’s Prize for Excellence in Science Teaching in Primary Schools

Assessment criterion 1 – Professional knowledge of science, science education and students

Identify this by demonstrating:

You should identify this by:

a. demonstrating the nominee’s knowledge and understanding of the concepts, substance and structure of the content and teaching strategies related to their teaching responsibilities

b. demonstrating the nominee’s use and knowledge of teaching strategies that are responsive to the learning strengths and needs of students from diverse linguistic, cultural, religious and socio-economic backgrounds

c. demonstrating science, mathematics or technology teaching is a part of their workload (secondary school teacher only).

Assessment criterion 2 – Implements highly effective teaching and learning practices to achieve high quality learning outcomes in science, maths or technology

You should identify this by demonstrating how the nominee:

a. adopts or develops innovative and imaginative approaches to teaching which create and maintain challenging learning goals and emotionally supportive and physically safe learning environments

b. engages students in generating, constructing and testing scientific knowledge and methods by collecting data, investigating, developing, analysing or evaluating problems, concepts, situations or evidence

c. ensures the science is contextual, engaging and relevant to the students’ lives

d. develops in students the confidence and ability to use scientific knowledge and processes to make informed decisions or to develop solutions to problems

e. develops a culture of high expectations to inspire students to pursue further studies in science, maths or technology.

These approaches should be demonstrated in the nominee’s own classroom and school.

We require measures and evidence to support this criterion in the achievement summary or as additional attachments to the application. Below are some examples of suitable evidence. These are suggestions and we do not expect that all suggested material will be provided.

Evidence of high quality learning outcomes in the form of:

student and parent feedback

principal’s and peers’ assessment or commentary

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specific examples of initiative and innovative approaches.

Objective measures of effectiveness and impact such as:

improved end of year assessment outcomes

improved student engagement or participation in class activities

encouragement and support for students’ extra-curricular science, maths or technology activities

leadership among peers, across schools and/or among non-school partners in promoting high quality school science, maths or technology teaching and learning

increased enrolments in senior secondary science, maths or technology

evidence of influence in students’ post-school study or employment choices.

Assessment criterion 3 – Contribution to broader science, maths or technology education community.

You should demonstrate this by identifying:

a. how the nominee engages with the school community, professional teaching networks and broader communities to:

o improve the quality and effectiveness of science, maths or technology teaching

o build teachers’ capacity to implement their curriculum.

b. how the nominee is widely recognised as having made a significant contribution to science, maths or technology education in their school, local school area, state/territory, nationally or internationally through activities such as:

engaging with colleagues to improve science teaching practice in their school, local schools, state/territory, nationally or internationally

innovative practices that have been adopted in other classrooms, schools or regions

participation in curriculum development

contributions to relevant education policy at state/territory or national levels.

Prime Minister’s Prize for Excellence in Science Teaching in Secondary Schools

Assessment criterion 1 – Professional knowledge of science, science education and students

Identify this by demonstrating:

You should identify this by:

a. demonstrating the nominee’s knowledge and understanding of the concepts, substance and structure of the content and teaching strategies related to their teaching responsibilities

b. demonstrating the nominee’s use and knowledge of teaching strategies that are responsive to the learning strengths and needs of students from diverse linguistic, cultural, religious and socio-economic backgrounds

c. demonstrating science, mathematics or technology teaching is a part of their workload (secondary school teacher only).

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Assessment criterion 2 – Implements highly effective teaching and learning practices to achieve high quality learning outcomes in science, maths or technology.

You should identify this by demonstrating how the nominee:

f. adopts or develops innovative and imaginative approaches to teaching which create and maintain challenging learning goals and emotionally supportive and physically safe learning environments

g. engages students in generating, constructing and testing scientific knowledge and methods by collecting data, investigating, developing, analysing or evaluating problems, concepts, situations or evidence

h. ensures the science is contextual, engaging and relevant to the students’ lives

i. develops in students the confidence and ability to use scientific knowledge and processes to make informed decisions or to develop solutions to problems

j. develops a culture of high expectations to inspire students to pursue further studies in science, maths or technology.

These approaches should be demonstrated in the nominee’s own classroom and school.

We require measures and evidence to support this criterion in the achievement summary or as additional attachments to the application. Below are some examples of suitable evidence. These are suggestions and we do not expect that all suggested material will be provided.

Evidence of high quality learning outcomes in the form of:

student and parent feedback

principal’s and peers’ assessment or commentary

specific examples of initiative and innovative approaches.

Objective measures of effectiveness and impact such as:

improved end of year assessment outcomes

improved student engagement or participation in class activities

encouragement and support for students’ extra-curricular science, maths or technology activities

leadership among peers, across schools and/or among non-school partners in promoting high quality school science, maths or technology teaching and learning

increased enrolments in senior secondary science, maths or technology

evidence of influence in students’ post-school study or employment choices.

Assessment criterion 3 – Contribution to broader science education community.

You should demonstrate this by identifying:

a. how the nominee engages with the school community, professional teaching networks and broader communities to:

o improve the quality and effectiveness of science, maths or technology teaching

o build teachers’ capacity to implement their curriculum.

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b. how the nominee is widely recognised as having made a significant contribution to science, maths or technology education in their school, local school area, state/territory, nationally or internationally through activities such as:

engaging with colleagues to improve science teaching practice in their school, local schools, state/territory, nationally or internationally

innovative practices that have been adopted in other classrooms, schools or regions

participation in curriculum development

contributions to relevant education policy at state/territory or national levels.

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