Women in Technology

WiT | Executive Award

Application Form

The WiT Executive Award has been developed to provide an opportunity for women in their middle to late career within both the ICT and Biotechnology sectors with the opportunity to raise their profile and qualifications that will assist them in establishing executive or board careers.

Eligibility

- Female applicant
- Demonstrated a commitment to establishing a permanent executive or board career with a degree of management/executive profile already achieved
- WiT Member
- As a guide, it is expected that applicants will have been employed for at least eight years (not including career interruptions for family or other reasons).

(The applicant does not have to be clearly aligned with the ICT or biotech sector so long as they operate within the technology secor in its broadest term encompassing engineering, architecture, mining etc. Non technical applicants working in a technology company are eligible and encouraged to apply.)

Note: It is recommended that you write your responses on your editor and then paste them into the relevant fields below to save losing any work.

The award category you are applying for is:
WiT | Executive Award
Name First Last
Organisation
Position/Job Title
Phone Number
Email
Postal Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Section A

This section is the same for all categories. Only complete it once if multiple category applications are made
I have already completed Section A
Tick the box if you have completed section A on a different category application form. If so, please complete Section B below
Highest Qualification Achieved

Name, Institute and Date
Selection Criteria 1 – Career Summary (20%)
Maximum Allowed: 450 words. Currently Used: 0 words.

Provide a brief summary, in 400 words or less, of your career to date
Selection Criteria 2 – Future Ambitions (20%)
Maximum Allowed: 450 words. Currently Used: 0 words.

What would you like to achieve in the long run in your career? Briefly describe up to three key goals/ambitions you hold for the future.
Selection Criteria 3 - Contribution to your field (20%)
Maximum Allowed: 450 words. Currently Used: 0 words.

In 400 words or less, outline up to three of the MOST significant contribution(s) that you have made to your field to date. If any of these outcomes arose from the work of a team, indicate your particular contribution
Selection Criteria 4 – Impact of contributions to date (15%)
Maximum Allowed: 450 words. Currently Used: 0 words.

What is the impact of these contributions? Provide a 400 word summary of how these contributions have impacted on the industry, in past, present and/or the future
If relevant provide details of your publications (including conference papers, posters, etc), presentations or industry benchmarks achieved; or any other significant achievements.

Examples might include:
 Awards or prizes relevant to your industry that you have received.
 Participation in industry and/or professional societies or organisations (including editorial boards, conference organising committees, etc), including role(s) and dates
Referees

The Selection Panel may decide to refer to Referees to assist them with their decision making. References may only be sought for shortlisted candidates.
Have your referees been contacted and made aware a reference may be sought? Y/N
Attach your resume/CV or executive profile
If available please attach a headshot/photo of yourself

If you are shortlisted you will be required to provide a photo for promotional use.
Section B

This section is relevant to this category only.
Selection Criteria 5 – Commitment (15%)
Maximum Allowed: 450 words. Currently Used: 0 words.

What other actions have you undertaken that demonstrate your commitment to taking a seat in the board room?
Selection Criteria 6 – Board (10%)
Maximum Allowed: 450 words. Currently Used: 0 words.

If you could seat on any board, which one would it be and why?
Selection Criteria 7 – Award (10%)
Maximum Allowed: 450 words. Currently Used: 0 words.

How would this award enable you to improve your performance in your current role and contribute to your future goals and aspirations?
Do Not Fill This Out

Women in Technology

Section A

Section B