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nomination form Seniors Awards 2013 - Townsville City Council

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<strong>nomination</strong> <strong>form</strong><strong>Seniors</strong> <strong>Awards</strong> <strong>2013</strong>how to nominate a volunteer >>The <strong>Townsville</strong> <strong>City</strong> <strong>Council</strong> <strong>Seniors</strong> <strong>Awards</strong>are open to people aged over 60 who havevoluntarily given their time for the good of the<strong>Townsville</strong> Community.The volunteer activities must have occurredwithin the city of <strong>Townsville</strong>.To nominate a volunteer, please write between300 and 600 words addressing the selectioncriteria. You can use the dot points providedunder each criteria as a guide. Your <strong>nomination</strong>should be a total of about one page of typed,single spaced writing, or two full handwrittenpages. Please type or write your responseon a separate sheet/s of paper attach to the<strong>nomination</strong> <strong>form</strong>.eligibility >>>> You can nominate any permanent residentof <strong>Townsville</strong> aged 60 years or over as at 31July <strong>2013</strong>>> You can not nominate yourself.important notes >>The <strong>Townsville</strong> <strong>City</strong> <strong>Council</strong> selection committee isunable to consider <strong>nomination</strong>s that do not meetthe following:1. The nominated person must be 60 years ofage or over as at 31 July <strong>2013</strong>.2. The activities for which they are beingnominated must have been carried out in avoluntary, unpaid capacity.3. The voluntary activities must have occurredin the <strong>City</strong> of <strong>Townsville</strong>.4. Individuals cannot nominate themselves fora <strong>Townsville</strong> <strong>City</strong> <strong>Council</strong> <strong>Seniors</strong> Award.5. Only an individual can submit the<strong>nomination</strong>. An individual may submit a<strong>nomination</strong> on behalf of an organisation.6. The <strong>nomination</strong> <strong>form</strong> must be completed in full.7. A separate <strong>nomination</strong> <strong>form</strong> must becompleted for each nominee.8. Entries must be submitted in writing.9. Current members of the selection committeewill not be considered for a <strong>Townsville</strong> <strong>City</strong><strong>Council</strong> <strong>Seniors</strong> Award.10. Nominations must contain contact details forthe nominee, nominator and two referees.11. The nominator must know the nominee.12. You may nominate a family member.13. A referee cannot be a family member of theperson nominated or the nominator.14. You cannot nominate someone and act astheir referee.15. Make sure you address each of the threeselection criteria. Give examples for eachcriterion so the selection committee knowsthe impact your nominee has had in the<strong>Townsville</strong> community.16. Responses must not exceed a total of 600 words.17. Use the dot points under each criteria as aguide.18. Provide your written response to theselection criteria on a separate sheet/s ofpaper, and make sure it is either typed orneatly written.19. Copies of in<strong>form</strong>ation such as citations, mediaclippings or photographs may be attachedto the <strong>nomination</strong> <strong>form</strong> to support your<strong>nomination</strong> but cannot be returned.20. The selection committee’s decision on <strong>2013</strong><strong>Townsville</strong> <strong>City</strong> <strong>Council</strong> <strong>Seniors</strong> <strong>Awards</strong>winner is final.submitting your <strong>nomination</strong> >>mail >><strong>Seniors</strong> <strong>Awards</strong><strong>Townsville</strong> <strong>City</strong> <strong>Council</strong> – Community ServicesPO Box 1268<strong>Townsville</strong> Qld 4810in person >>Community Development,Level 1, Northtown, 280 Flinders Street,<strong>Townsville</strong>email >>seniors@townsville.qld.gov.auonline >>www.townsville.qld.gov.auNominations sent by fax will not be accepted.Nominations must bereceived by 5pmFriday 19 July <strong>2013</strong>Award presentations will be held duringthe <strong>Townsville</strong> <strong>City</strong> <strong>Council</strong>’s SuperSenior’s Day to be heldReid ParkFriday 23 August <strong>2013</strong>10.30am – 1.30pmYour responses to the Selection Criteria tellthe selection committee why your nomineedeserves an award.selection criteria >>1. Significant contribution to thecommunityHow has the nominee made asignificant contribution to the <strong>Townsville</strong>Community? You should include:>> In<strong>form</strong>ation about the fields orareas in which your nomineevolunteers>> In<strong>form</strong>ation about theorganisation/s your nomineevolunteers for, and their role in theorganisation/s>> An example/s of how the nomineehas made a difference to the<strong>Townsville</strong> Community2. Demonstrated commitment tovolunteering in the <strong>City</strong> of <strong>Townsville</strong>How has the nominee showncommitment and dedication tovolunteering? You could include:>> Examples of the time or resourcesyour nominee has dedicated to theircommunity or organisation/s>> An example/s of challenges yournominee has overcome3. Demonstrated impact of the volunteeractivities on the <strong>Townsville</strong> communityWhat is the impact of the nominee’svolunteering activities? You shouldinclude:>> Specific examples of the positiveimpact your nominee has hadon individuals or the <strong>Townsville</strong>community>> In<strong>form</strong>ation about the importanceof the volunteer work your nomineedoesNominators please remember to list allorganisations and details of the workundertaken for nominees, not just the workfor your organisation.For enquiries or more in<strong>form</strong>ation, please contact CommunityDevelopment on 1300 878 001 or visit www.townsville.qld.gov.au.page 2

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