AWARD CATEGORIES GUIDELINES

Similar documents
Page 0 of 4 TOWN OF BLACKFALDS / FCSS GLORIA HOUSE MENTOR AWARD NOMINATION FORM

Washington County Public Health Achievement Awards

Earlier this year, I had the honour of visiting with the Hope Haven Society in Lac La Biche.

Fraternity & Sorority Life

SERVICE AWARDS FOR GERIATRIC EXCELLENCE: NOMINATION PACKAGE

QDThe Qualman-Davies. Nomination Criteria and Form. Arthritis Consumer Community Leadership Award. Application Deadline: September 21, 2015

NAMI Georgia Awards & Recognition 2016/2017

NOMINATION FORM 2018 Mental Health Champions Award

Youth Recognition Awards

2010 MEMBER RECOGNITION AWARDS

2016 Grant Application Form

NPEIV sponsors the Paul Fink Interpersonal Violence Prevention Award (Named in honor of the late Dr. Fink in 2014.

2019 NATIONAL HOSPICE SPONSORSHIP AND AUCTION OPPORTUNITIES TUESDAY, APRIL 16, :30PM 11:00PM MARRIOTT WARDMAN PARK - WASHINGTON, DC

36 Elgin Street 2nd Floor Sudbury, Ontario P3C 5B4

Applications are available online at Completed applications should be ed to: or be mailed to:

YOUTH FORUM Conference Annual Meeting Baltimore Arena, Baltimore Friday May 23 Sunday May 25, 2014

2017 WGVU ENGAGE I HAVE MADE A DIFFERENCE AWARDS

Return Application for the Scholarships to: HISPANIC DENTAL ASSOCIATION FOUNDATION

Join our 2017 campaign!

NATIONAL INDIGENOUS DRUG AND ALCOHOL AWARDS

FAWL s Outstanding Public Service Award Nomination Form Deadline March 3, 2014

MRC S RECOVERY COACH ACADEMY APPLICATION

Therapeutic Use Exemption (TUE) Checklist and Application

Third Party Fundraising Guide Contents

Kids Cancer Care Foundation of Alberta Suite 302, Street NW Calgary AB T2N 2A1. kidscancercare.ab.ca

YYAC (Younger Teens) at Conference. Conference Annual Meeting. Information and Registration Form

Chef Sponsorship Packet

Nominations are due by March 1, 2013!! The Innovative Program Award. Unity Award. Su & Dennis Budd Exemplary Life Award

The David Conforti Reach for the Stars Award

TOBACCO CONTROL PROGRAM COMMUNITY GRANT. REQUEST FOR PROPOSALS- Release Date: October 2, 2018 Application Deadline: October 19, 2018 at 5:00 PM

NOMINATION INSTRUCTIONS

IN CONJUNCTION WITH NHPCO S MANAGEMENT AND LEADERSHIP CONFERENCE TUESDAY, MAY 2, 2017 WASHINGTON HILTON - WASHINGTON, DC 6:30PM - MIDNIGHT

Certificate IV in Mental Health Peer Work CHC43515 Scholarships Application Form

Morgan Memorial Goodwill Industries Running for Great Kids 2017 Boston Marathon Team Application

From the will of Dorothy J. Killam The Killam Trusts are valued at about $400 million 3

JDRF Hampton Roads Youth Ambassador Program Description

Align your brand with one of education s most highly respected and experienced organizations.

DE LA SALLE UNIVERSITY. Checklist A Research Ethics Checklist for Investigations involving Human Participants

RECRUITMENT INFORMATION PACKAGE. Mental Health Carers NSW (MHCN) MHCN Workshop Facilitator

2018 NJAMHAA Annual Conference Courage and Compassion Awards 2018 Nomination Rules

Medical gap arrangements - practitioner application

Community Action Partnership 2017 Annual Awards

Youth Grant Application: Grants North Country Health Consortium Community Substance Abuse Prevention Program Youth Leadership Project

awards nomination guide

WellSpan Philanthropy. Third Party Fundraiser Tool Kit

The Durham Regional Police Service is an equal opportunity employer. We thank applicants for their interest.

NARC LEPSY. raising awareness

Heroes. The 19th Annual. Healthcare. Employee of the. May 1, Honoring the best hospital employees of North Texas

Alberta Justice and Solicitor General. 24thAnnual. Community Justice Awards

SA Social Worker of The Year AWARDS

The Courageous Leadership Conference

KILLAM PROGRAM. Building Canada s Future Through Research

TO: Mayor & Council DATE: September 6, FROM: General Manager, Finance & Technology FILE:

Red Ribbon. UNAIDS/Raúl García. Mustafa Quraishi. UNAIDS/P. Virot

Comprehensive Outreach Education Certificate Program. & Health Modules. Spring 2014

Dr. Norah Browne Graduate Studies Scholarship

23 RD ANNUAL WEST CORK GARDA YOUTH AWARDS 2018

FACILITATOR TRAINING. TO REGISTER See pages 2-7 for more information and to register

Kansas Department of Health and Environment (KDHE) Kansas Data-Driven Prevention Initiative Request for Proposal (RFP) Fiscal Year 2019

This page is for information. Do not submit.

36 Elgin Street 2nd Floor Sudbury, Ontario P3C 5B4

St. Mary s Hospital Foundation Scholarship Program. Deadline: Must be postmarked by March 15, 2016

ANNEXURE A SUPPLIER DECLARATION FORM P a g e

Donate Life Rose Parade Float 2018 OneLegacy Ambassador Float Walker Application

Research Grant Application

Transforming the Future for Deaf & Hard of Hearing Students 2019 Scholarship Program Application for First-Time Applicants

Prader-Willi Syndrome Association of Wisconsin Junior Advisory Board

New Jersey Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Association Medical Education Award Program Spring, 2017

Preparing for an Oral Hearing: Taxi, Limousine or other PDV Applications

Criteria and Application for Men

ftl:, BEVERLY CITY OF BEVERLY HILLS HUMAN SERVICES DIVISION MEMORANDUM TO: Human Relations Commission FROM:

CATEGORIES AND GUIDANCE NOTES FOR NOMINATORS

July 5th-7th, 2016 Thompson Rivers University, Kamloops

AWARD DESCRIPTION AND APPLICATION PACKAGE

ASL /LSQ STORYTELLERS, ASL /LSQ POETS CALL FOR ENTRY 2018 JURIED LITERATURE

NARC LEPSY. raising awareness

RESEARCH GRANT APPLICATION

Background. Opportunity. The Proposed Study of e-mh for Youth and Young Adults

5K Run/3K Walk For HOPE Sunday, July 22, 2018

Grant Application for Individuals

Chapter Coordinator Guide

TRUSTLINE REGISTRY The California Registry of In-Home Child Care Providers Subsidized Application

Call for Nominations for Individuals Deadline: Thursday, February 8, 2018

In addition, VMIAC will recognise the contribution of an ally by providing a 7 th award.

AUTISM PROFESSIONALS AWARDS 2019

Case Number Application page 1. The AIDS Foundation of Western Massachusetts, Inc. P.O. Box 86 Chicopee, MA 01014

Things! Do Great. 20th Annual. Employee of the Year Luncheon. April 27, Derreck Kayongo. Honoring the best hospital employees of North Texas

SAVE THE DATE!!!!

2018 PARTNERSHIP OPPORTUNITIES

PMC 40th Anniversary Gala Dinner, Friday, November 10, 2017, 6:45 pm

2017 National ASL Scholarship

Summer Youth Institute Packet

2015 Gala Celebration

DIAL/SELF Youth and Community Services YouthServe AmeriCorps Program

STRATEGIC DIRECTIONS AND FUTURE ACTIONS: Healthy Aging and Continuing Care in Alberta

Communicating with the Media

NASW-ND 2019 Annual Conference

Transcription:

Leadership in Family and Community Safety 2017 NOMINATION GUIDELINES ABOUT THE AWARDS The Ministry of Community and Social Services is pleased to present the 2017 Alberta Inspiration Awards in Family and Community Safety. Every November during Family Violence Prevention Month, government recognizes outstanding Albertans who are making a difference in their communities. Their efforts to prevent family violence, sexual violence, child abuse and bullying contribute to violence prevention and advance healthy relationships for all Albertans. FAMILY AND COMMUNITY SAFETY These awards reflect the Government of Alberta's commitment to making life better for all Albertans. By working with its community partners, government is building an Alberta where families, individuals and children feel safe and protected. Recognizing Prevention Efforts in: Family Violence Sexual Violence Child Abuse Bullying

GUIDELINES The Inspiration Awards will be administered according to the following guidelines 1. Nominators and nominees must comply with these guidelines, and they will be deemed to have read and understood the requirements if they participate in the awards nomination process. 1. Award nominations can be made by individuals who are: Residents of Alberta; 13-years-of-age or older; and Not related to the nominee. 2. Individuals may nominate Albertans on their own behalf or on behalf of an Alberta-based organization, agency, government office, business or group. Individuals may also nominate groups, businesses, or registered non-profit agencies. If a group or organization is nominated and is selected to receive an award, only one award will be issued. 3. Nominations (including all supporting material) become the property of the Government of Alberta and will not be returned. 4. Nominations that are incomplete or do not comply with these guidelines may be disqualified. 5. Nominees must meet the eligibility criteria outlined in this nomination package. 6. Nominations cannot be submitted without the permission of the nominee. 7. Only one nomination per individual can be submitted by the same nominator. The selection committee reserves discretion to recognize a nominee with an award from a category different than the one they were originally nominated for. 8. By signing the nomination form, each nominator and nominee: Agrees to abide by the guidelines that govern the Inspiration Awards; Consents to having their photograph taken for awards-related publicity purposes; Consents to the use of their name, community, photograph and nomination material in any awards-related publicity carried out by Alberta Community and Social Services and the Government of Alberta; Consents to the release of their name and address to the Members of the Legislative Assembly (MLAs) in their constituency; and Consents to participating in award-related activities and functions, including the awards ceremony, in the event that they are selected as one of the award recipients. AWARD CATEGORIES The awards acknowledge and celebrate Albertans who demonstrate leadership in prevention and responding to the following social issues: FAMILY VIOLENCE businesses who are working to prevent family violence and/or promote healthy SEXUAL VIOLENCE businesses who are working to prevent sexual violence and/or promote healthy CHILD ABUSE businesses who are working to address or prevent child abuse and/or promote healthy BULLYING Recognizes individuals, organizations or businesses who are working to prevent bullying and/or promote healthy EMERGING EXCELLENCE (up to one award) Recognizes youth or new professionals aged 24 or younger who demonstrate leadership in any of the above social issues. LIFETIME ACHIEVEMENT (up to one award) May be awarded to one individual to honour their pioneering spirit and long-term contribution to prevention and/or building healthy 1 Guidelines are subject to amendment by the Government of Alberta. 2

9. We thank all participants for their interest; however, only successful nominators and nominees will be contacted regarding award results. 10. In accordance with the Freedom of Information and Protection of Privacy Act, personal information about nominators and nominees is collected for the sole purpose of administering the Inspiration Awards. It will be used to select and publicize the achievements of award recipients. 11. For the purpose of these awards: A nominee has demonstrated contributions in prevention and/or building healthy relationships as it relates to one or more of the following social issues: family violence; sexual violence; child abuse; or bullying. Emerging Excellence is defined as a youth or new professional, aged 24 or younger. Lifetime Achievement is defined as a period of 25 years or more. 12. Decisions made by the awards selection committee are final. THE SELECTION PROCESS Award recipients are chosen by the awards selection committee. All nominators and nominees will receive an email confirming their nomination was received. Award recipients and their successful nominators will be contacted when selected. Each year, award recipients are honoured at an awards ceremony in November. Help the Government of Alberta say thank-you by recognizing the leadership of those working to make life better for Albertans. ELIGIBILITY REQUIREMENTS To be eligible, all nominees must: Meet the requirements outlined in the selected award category; Be a resident of Alberta; and Not be related to the nominator. SUPPORTING INFORMATION The nominator must attach a nomination letter that explains and provides specific examples of how the nominee demonstrates their commitment to family violence prevention and/or building healthy One additional letter of support must be obtained from someone who is familiar with the nominee s contribution(s). Each letter should be a maximum of 600 words. Do not send information that is not specifically requested on the nomination form. Make your nomination letter as specific as possible. For example, instead of saying the nominee is committed to family violence prevention, provide a concrete example. Profiles of past recipients are available online at http://humanservices.alberta.ca/inspirationawards 3

ABOUT THE NOMINEE Individual Organization First name: Last name: OR, Name of Organization being nominated: Address: Telephone (day): Telephone (evening): Cell: Email: Award Category (please check one category only) Family Violence Bullying Sexual Violence Child Abuse Emerging Excellence Lifetime Achievement ABOUT THE NOMINATOR First name: Last name: Address: Telephone (day): Telephone (evening): Email: How you know the nominee: About Your Organization (if applicable) Are you making your nomination on behalf of an organization? Yes No (if yes, please provide the name and address of the organization) Organization name: Address: Telephone: Email: 4

DECLARATIONS I have read and agree to abide by the guidelines outlined in the nomination package. The nominee meets all eligibility criteria outlined in the nomination package. *Nominator s signature: Date: *Nominee s signature: Date: CHECKLIST IS YOUR APPLICATION COMPLETE? Nomination form completed (all information sections are filled in) Nomination letter (maximum 600 words) is attached and includes examples of how the nominee demonstrates a commitment to ending family violence in Alberta Additional letter of support (maximum 600 words) is attached, and includes examples of how the nominee demonstrates a commitment to ending family violence in Alberta Signed and dated by nominator Signed and dated by nominee Nominee's biography (maximum 100 words) that includes a summary highlighting contributions to prevention and/or building healthy relationships Photo of nominee (format: uncropped JPEG, 200kB+) or logo of organization being nominated (format: EPS, 300 ppi). SUBMIT YOUR NOMINATION Email, mail or fax the completed nomination form along with items listed in the above checklist to the address below. Mailed applications must be received or post marked prior to the nomination deadline. Inspiration Awards Community and Social Services, Community Services and Supports Division 3rd Floor, 44 Capital Boulevard, 10044 108 Street Edmonton, Alberta T5J 5E6 Attention: Gillian Barnes Fax: 780-415-9345 Email: css.familyandcommunitysafety@gov.ab.ca QUESTIONS? css.familyandcommunitysafety@gov.ab.ca 780-422-5916 (can be accessed toll-free in Alberta by first dialing 310-0000). The deadline for nominations is 4 p.m. on Friday, August 11, 2017. 5