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Name

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Phone Number

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Email

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Age

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Highest Qualification

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Years of Experience

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Professional Domains & interests

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Select all that apply

Mechanical

Electrical

Civil/buildings

Chemical

Bioengineering

Software

Controls

Mechatronics/Robotics

Aerospace/Space

Manufacturing/Industrial

Maritime

Design

Oil & Gas

Nuclear

Rolling Stock

IT & Software Infrastructure

Cybersecurity

Founder/Entrepreneurship

Research

Awards

List any awards you have received from national engineering bodies such as: IET, IMechE, IEEE, RAEng, IChemE

How have you demonstrated a commitment to Engineering Excellence?

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Some examples of Engineering Excellence:

1. Creating something of value, at scale.

2. Achieving something technically brilliant against difficult odds.

3. Technical leadership in the face of adversity.

We are primarily looking for individuals with a track record of demonstrating a commitment to something greater than themselves.

If in doubt, write about it.

Share a time when you rejected a conventional approach and pursued your own vision?

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Rejecting a convention can take different forms for different people. For example:

- a social convention.

- An academic orthodoxy.

When you leave the room, what would you like others to say about you?

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We want to understand your values around other people.

Occasional emails about events & workshops

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