Wattle Range Council present its first Youth Recognition Awards My Community is your Community Find us on Facebook 1
INTRODUCTION Welcome the second Wattle Range Council Youth Recognition Awards. As part of the celebrations for National Youth Week 2017, the Wattle Range Council is pleased to open the nomination period for the Youth Recognition Award. Council recognises the important and valuable contribution our youth make to the community. To acknowledge this contribution we invite youth from 12-25 years to participate by completing the attached nomination form. Young people may be nominated by their families, friends, parents, youth workers, teachers, counsellors, employers or other members of the local community. Self-nominations are also welcome. A presentation night will be held on Wednesday 5 April 2017 in Penola between 6-8pm. The Council will present the awards to all successful candidates. Award Categories: Contributions To The Community / Community Involvement Award Recognises an individual aged between 12-25 years who has made a positive contribution to the community, has volunteered their time to help others and/or is an active member of the community (Volunteering with community group/school) Helping Out Family and/or Friends Recognises an individual aged between 12-25 years who has assisted tirelessly a family or friend in need. Learning Success (continual improvement) Recognises an individual aged between 12-25 years who works to continually improvement themselves or assists others in learning outcomes. Employment Achievement whilst learning (e.g. new initiative, facing a job/ training challenge) Recognises an individual aged between 12-25 years whose innovation and ideas have been recognised by peers. Overcoming Challenging Life Situation Award Recognises an individual aged between 12-25 years who has turned a negative situation into a positive. They have had the courage to get through a bad situation and show great resilience and determination. This person is someone who inspires others. 2
CONDITIONS OF ENTRY 1) All nominations need to be supported by a suitable referee; 2) The person nominated must be aged between 12-25years; 3) Live within the Wattle Range Council area; 4) Young people may be nominated by their families, friends, parents, youth workers, teachers, counsellors, employers, other members of the local community or self-nominate; 5) All questions within the nomination form need to be completed; 6) Nominees agree to allow a summary of their nomination to be read at the Awards presentation; 7) Nominations must be received by 5pm Wednesday 22 March 2017; 8) Award recipients photos will be published and consent needs to be completed with this application. 9) Please only nominate for one category per form Please return completed forms to any Wattle Range Council Office by 5pm Wednesday 22 March 2017 Post Nominations to: Wattle Range Council Youth Recognition Award PO Box 27 MILLICENT SA 5280 Email Nominations to: council@wattlerange.sa.gov.au subject line: Youth Recognition Award Enquiries can be directed to Council s Community Development Officer - Sarah Marzec Monday to Wednesday phone: 08 8733 0900 email: sarah.marzec@wattlerange.sa.gov.au 3
NOMINATION FORM Recognising Young People for Outstanding Personal Qualities Name Of Nominee: Address: Suburb Phone: Email: School/ Education Institute: Post Code: Mobile: Date of Birth: Your Name (Nominator): Leave blank for self-nomination Organisation: Relationship to Nominee: Worker Friend Parent/Caregiver Other Address: Suburb: Phone: Email: Postcode: Mobile: How did you hear about the Awards? Award Category: Reason for choosing this category: Referee Name: Contact: By signing this form I acknowledge I have read and accept the Conditions of Entry: Nominator Signature: Date: Nominee Signature: Date: Please provide as much detail as possible and attach additional pages if required. 4
NOMINATION FORM Why are you nominating? Please provide reasons and example of contributions/achievement/dedication Please describe 3 outstanding qualities that describe this young person or you. How do you/they use and show these qualities? 5
NOMINATION FORM What motivates/ drives you or this young person to achieve their goals? Please provide any more relevant information to support this nomination (optional) 6
NOMINATION FORM & Talent Release Form I understand and consent that the Wattle Range Council: o May use my images or photographs; o May reproduce the image or photograph in any form, in whole or in part; o May publish the image or photograph in any of its mediums, advertising and promotions; and o In signing this Talent Release Form I understand that any photographs supplied to me either through sale or as a gift cannot be used for commercial purposes without the written permission of the Wattle Range Council. I understand that the Wattle Range Council: o Will not pay me for giving this consent or for the use of my image or photograph; o May keep the image or photograph on record; o May use the image or photograph in the future, unless I specify limitation for its use or I terminate this consent in writing; and o Will not infringe the rights of any third party by exercising its rights given in this consent. My consent is subject to the following limitations (please specify): Signature of nominee Name (please print): Signature: Date: Signature of parent/guardian for nominees under 18 years of age Name (please print): Relationship to nominee: Signature: Date: 7
SPONSORS Sponsored by The Medical Clinic Millicent 8