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*<br />

TRAINEE OF THE YEAR<br />

CERTIFICATE III IN PIPE LAYING<br />

The Industry Leaders & Tra<strong>in</strong><strong>in</strong>g Awards recognise <strong>the</strong> outstand<strong>in</strong>g<br />

learn<strong>in</strong>g and development achievements <strong>of</strong> <strong>in</strong>dividuals with<strong>in</strong> <strong>the</strong><br />

<strong>Civil</strong> Construction Industry.<br />

2011 INDUSTRY LEADERS &<br />

NOMINATIONS CLOSE 4TH MAY 2012<br />

Nom<strong>in</strong>ees for <strong>the</strong> awards will each have demonstrated leadership<br />

<strong>in</strong> <strong>in</strong>dustry tra<strong>in</strong><strong>in</strong>g and atta<strong>in</strong>ed significant achievements <strong>in</strong> <strong>the</strong>ir field.<br />

TRAINEE<br />

OF THE YEAR<br />

CERTFICATE III<br />

NOMINATE WITH<br />

THIS FORM<br />

NOW!<br />

ELIGIBILITY FORM<br />

MAJOR SPONSOR<br />

EVENT DATE<br />

EMAIL<br />

15th June 2012 The Industry Leaders & Tra<strong>in</strong><strong>in</strong>g Awards recognise qldevents@civilcontractors.com<br />

<strong>the</strong> outstand<strong>in</strong>g learn<strong>in</strong>g<br />

and development achievements <strong>of</strong> <strong>in</strong>dividuals with<strong>in</strong> <strong>the</strong> <strong>Civil</strong><br />

VENUE<br />

Construction Industry over FAX <strong>the</strong> past <strong>year</strong>.<br />

Brisbane Convention & Exhibition Centre, 07 3360 7944<br />

Plaza Terrace Room<br />

NOMINATIONS CLOSE POST 6TH MAY 2011<br />

TIME<br />

Industry Leaders & Tra<strong>in</strong><strong>in</strong>g Awards Nom<strong>in</strong>ation<br />

EVENT 6.30pm DATE Pre-D<strong>in</strong>ner 17 th June 2011Dr<strong>in</strong>ks<br />

EMAIL Level 2, Oxley House,<br />

7.00pm D<strong>in</strong>ner and Awards Commence<br />

qldevents@civilcontractors.com<br />

25 Donk<strong>in</strong> St, South Brisbane QLD 4101<br />

VENUE Brisbane Convention & Exhibition Centre,<br />

Plaza Terrace Room<br />

FAX<br />

As <strong>the</strong> authorised company representative, please read <strong>the</strong> 07 eligibility 3360 7944<strong>in</strong>formation and sign as <strong>in</strong>dicated.<br />

TIME<br />

This eligibility<br />

6.30pm<br />

form provides<br />

Pre-D<strong>in</strong>ner<br />

<strong>the</strong><br />

Dr<strong>in</strong>ks<br />

nom<strong>in</strong>ee with <strong>the</strong> relevant authorisation to complete <strong>the</strong> nom<strong>in</strong>ation form<br />

for <strong>the</strong>ir category. 7.00pm By D<strong>in</strong>ner complet<strong>in</strong>g and Awards this eligibility Commence form, you are POST agree<strong>in</strong>g to all contents conta<strong>in</strong>ed here<strong>in</strong>.<br />

Industry Leaders & Tra<strong>in</strong><strong>in</strong>g Awards Nom<strong>in</strong>ation<br />

> All nom<strong>in</strong>ations must have formal approval by <strong>the</strong> employer or by <strong>the</strong> person authorised to act on behalf <strong>of</strong> <strong>the</strong><br />

Nom<strong>in</strong>ees<br />

employer.<br />

for <strong>the</strong><br />

This<br />

awards<br />

will<br />

will<br />

be<br />

each<br />

considered<br />

have demonstrated<br />

Level 2, Oxley House, 25 Donk<strong>in</strong> St,<br />

approved by sign<strong>in</strong>g this eligibility form.<br />

leadership <strong>in</strong> <strong>in</strong>dustry tra<strong>in</strong><strong>in</strong>g and atta<strong>in</strong>ed significant<br />

South Brisbane QLD 4101<br />

achievements > Each nom<strong>in</strong>ee <strong>the</strong> field. must have completed <strong>the</strong>ir tra<strong>in</strong><strong>in</strong>g by 4th May 2012*.<br />

> Employer and employee have adhered to <strong>the</strong> contents <strong>of</strong> <strong>the</strong> Tra<strong>in</strong><strong>in</strong>g Contract* with <strong>Civil</strong> Tra<strong>in</strong> Queensland.<br />

> All f<strong>in</strong>alists must be available to attend <strong>the</strong> awards night on <strong>the</strong> 15th June 2012.<br />

As <strong>the</strong> authorised company representative, please read <strong>the</strong> eligibility <strong>in</strong>formation and sign as <strong>in</strong>dicated. This Eligibility Form provides<br />

Employers: Please ensure you have completed <strong>the</strong><br />

<strong>the</strong> nom<strong>in</strong>ee with <strong>the</strong> relevant authorisation to complete <strong>the</strong> Nom<strong>in</strong>ation Form for <strong>the</strong>ir<br />

Tra<strong>in</strong>ee Rat<strong>in</strong>g Chart below.<br />

RATING:<br />

Category.<br />

Tra<strong>in</strong>er<br />

By complet<strong>in</strong>g<br />

and Employer<br />

this Eligibility<br />

to complete<br />

Form,<br />

you are agree<strong>in</strong>g to all contents conta<strong>in</strong>ed here<strong>in</strong>.<br />

(scale <strong>of</strong> 1 is average, 5 is excellent)<br />

• EMPLOYER nom<strong>in</strong>ations All NAME______________________________________________________________<br />

must have formal approval by <strong>the</strong> employer or by <strong>the</strong> person<br />

EMPLOYER’S COMMENTS 1 2 3 4 5<br />

authorised to act on behalf <strong>of</strong> <strong>the</strong> employer. This will be considered approved<br />

by AUTHORISED sign<strong>in</strong>g this eligibility COMPANY Form. REPRESENTATIVE:<br />

Reliability<br />

• Each nom<strong>in</strong>ee must have completed <strong>the</strong>ir tra<strong>in</strong><strong>in</strong>g by 6 th May 2011 * .<br />

Initiative<br />

•<br />

NAME_________________________________________________________________________<br />

Employer and employee have adhered to <strong>the</strong> contents <strong>of</strong> <strong>the</strong> Tra<strong>in</strong><strong>in</strong>g Contract * . Attention to Detail<br />

• All must be available to attend <strong>the</strong> awards night.<br />

POSITION______________________________________________________________________<br />

Team Work<br />

Compliance<br />

EMPLOYER<br />

MOBILE________________________________________________________________________ Communication<br />

NAME EMAIL_________________________________________________________________________<br />

POSITION SIGNED (Company Representative)______________________________________________<br />

MOBILE<br />

SIGNED (Tra<strong>in</strong>er)_______________________________________________________________<br />

*This is not applicable for <strong>the</strong> Individual or Employer Outstand<strong>in</strong>g<br />

EMAIL Commitment to Tra<strong>in</strong><strong>in</strong>g Awards<br />

TRAINER’S COMMENTS<br />

Reliability<br />

Initiative<br />

Attention to Detail<br />

Team Work<br />

Compliance<br />

Communication<br />

1 2 3 4 5<br />

SIGNED<br />

SIGNED<br />

Tra<strong>in</strong>er


NOMINATION<br />

FORM<br />

MAJOR SPONSOR<br />

TRAINER NAME_________________________________________________________________________________________________<br />

NOMINEE NAME________________________________________________________________________________________________<br />

The Nom<strong>in</strong>ee must have completed <strong>the</strong>ir tra<strong>in</strong><strong>in</strong>g by 4th May 2012*.<br />

The Nom<strong>in</strong>ee has been nom<strong>in</strong>ated by <strong>Civil</strong> Tra<strong>in</strong> Tra<strong>in</strong>er Company Representative Tra<strong>in</strong>ee<br />

CRITERIA<br />

> Responses should be no longer than 300 words per question.<br />

> Each nom<strong>in</strong>ation requires two (2) letters <strong>of</strong> support.<br />

> Attach o<strong>the</strong>r support materials demonstrat<strong>in</strong>g excellence <strong>in</strong> <strong>the</strong> field you are nom<strong>in</strong>at<strong>in</strong>g for (ie. references/photos).<br />

> By submitt<strong>in</strong>g your nom<strong>in</strong>ation you are giv<strong>in</strong>g <strong>the</strong> CCF permission to use and publish any photographs or video<br />

footage taken at <strong>the</strong> workplace provided <strong>in</strong> <strong>the</strong> nom<strong>in</strong>ation and/or at <strong>the</strong> event.<br />

> Please ensure that all personal <strong>in</strong>formation provided is accurate as this will be used on all materials; <strong>certificate</strong>s,<br />

media releases etc.<br />

O<strong>the</strong>r Information<br />

> One free ticket will be issued to each f<strong>in</strong>alist to attend <strong>the</strong> awards night.<br />

> Transport is not <strong>in</strong>cluded.<br />

TRAINEE OF THE YEAR<br />

CERTIFICATE III IN PIPE LAYING<br />

AWARD<br />

SPONSORED BY:<br />

[1] CONTACT NAME_________________________________________________________________________________________________________________________<br />

[2] CONTACT PHONE NUMBER_______________________________________________________________________________________________________________<br />

[3] CONTACT EMAIL ADDRESS_______________________________________________________________________________________________________________<br />

[4] NAME OF EMPLOYER_____________________________________________________________________________________________________________________<br />

[5] PROVIDE AT LEAST THREE (3) EXAMPLES OF HOW YOUR TRAINING HAS BENEFITED YOUR EMPLOYER.<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

[6] PROVIDE AT LEAST THREE (3) EXAMPLES OF HOW YOUR TRAINING HAS ASSISTED WITH YOUR SKILL DEVELOPMENT.<br />

PLEASE INDENTIFY TWO (2) SKILLS ACHIEVED THROUGH YOUR TRAINING.<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

____________________________________________________________________________________________________________________________________________<br />

[7] PLEASE ATTACH ANY SUPPORTING MATERIALS TO THIS FORM TO ENDORSE YOUR NOMINATION.

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