Firefly needs a modern browser, so you may notice things look broken right now.
To get a better experience, try one of the supported browsers listed here.
This form cannot be saved so we recommend preparing your response and completing the form when ready to submit. External candidates should submit the online registration form first.
This statement forms part of the award application procedure and will be considered together with the award papers and performance at interview.
Candidates should write in no more than 100 words why they wish to be considered for this award
[Tick this box to confirm submission with X answers blank]
Submit