Council of the Federation Literacy Award - Alberta Enterprise and ...

The Council of the Federation Literacy AwardNomination FormThis personal information is collected pursuant to section 33(c) of the Freedom of Information and Protection of PrivacyAct as it relates directly to and is necessary for the evaluation and selection of the Council of the Federation LiteracyAward recipient. If you have any questions about the collection of this information, you may contact CommunityPartnerships and Literacy, Advanced Education and Technology in Edmonton at (780) 427-5624. For toll-free access inAlberta call 310-0000 then (780) 427-5624.Nominee InformationPlease print clearly and sign belowNameMailing AddressCity/Town Province Postal CodeHome TelephoneWork TelephoneE-mailI, _________________________________ (print name), agree to be nominated for the Council of the Federation Literacy Award.I confirm the information provided is accurate, and I consent to the use and exchange of this information by and between AlbertaAdvanced Education and Technology and the Council of the Federation Literacy Award Selection Committee for the sole purposeof evaluating and selecting award recipients. If I receive this award, I also consent to having my name, age, hometown, summaryof achievements and photograph released to the media and included for publicity purposes in Alberta government publications andwebsites associated with the award. I give this consent voluntarily and am aware that this consent shall remain valid unless Irevoke it in writing._____________________________________Signature of the NomineeNominator InformationNameMailing AddressCity/Town Province Postal CodeHome TelephoneWork TelephoneE-mail

How to complete the Nomination PackageNominee eligibility checklist:The nominee is a volunteer with an adult literacy program.*The nominee lives in Alberta.The nominee has made an impact of the lives of learners, literacy programs and services, and/orthe literacy system in Alberta.The nominee agrees to be nominated for this award and has signed the nomination form.* The nominee may have tutored, assisted in literacy classrooms, assisted with fundraising or specialevents, participated on boards or committees, developed programs or contributed in other ways.The nomination package includes:A completed nomination form.A nomination letter or summary that addresses: why the nominee became involved in literacy and the role(s) she or he has played in adult literacyprograms; the amount of time contributed; examples of the positive impact* the volunteer’s efforts have made on learners, the community,and the literacy system in Alberta; examples that demonstrate the volunteer’s commitment to the field of literacy.* Examples include how the volunteer served as a navigator, helping learners to move from one learningopportunity to another, or to employment, how the volunteer adapted programing or lessons for the context ofthe community, how the volunteer built innovative partnerships to support learning.The letter is a maximum of two typewritten or legibly handwritten pages.Two letters of support:one from someone involved with the organization where the nominee volunteers – a learner,fellow volunteer, staff person, or board member;one from someone outside of the organization who has witnessed the positive impact of thevolunteer’s work in the community or the literacy system.The letters of support are a minimum of one or a maximum of two pages each (typewritten orlegibly handwritten) and provide specific examples describing:why the nominee deserves the award, including how the nominee meets the above criteria;how the nominee has impacted others and/or the literacy system.The complete nominations package will be received by Community Partnerships & Literacy byJune 1, 2012.The nomination form, letter of summary, and the letters of support will be sent to:Community Partnerships & LiteracyEnterprise and Advanced EducationGovernment of AlbertaAttention: COF Literacy Award SelectionCommittee8 th Floor, Commerce Place10155 102 StreetEdmonton AB T5J 4L5Or by fax to:(780) 422-1297Telephone: (780) 427-5624Dial 310-1000 for toll-free access outside Edmonton.To download a nomination form orfor more information visit:adultliteracy.alberta.ca