· web viewemail: [email protected] mail: foster and kinship care awards 2017...
TRANSCRIPT
NOMINATION FORMPart A: Details of the nominator
Name:Postal address:
Phone number:Email:How do you know the nominee?
Organisation and position (if applicable)Signature:
Date:
Part B: Details of the nominee (person being nominated)
Name:Home address:
Postal address:
Phone number:Email:Nominee is being nominated for the following award:
Outstanding Contribution by a Foster Carer Outstanding Contribution by a Kinship Carer Outstanding Contribution by a Territory Families Staff Member Outstanding Contribution by a Sibling Young Person Achievement Award*
*Age of young person ____________
Part C: Selection criteriaPlease outline the achievements of the person being nominated and the reasons why you believe they should be honored with an Award.
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------
Submitting your nominationPlease submit your application via email or post by Friday 6 October 2017.
Email: [email protected]
Mail: Foster and Kinship Care Awards 2017 Attention: Prue Carter Territory Families PO Box 40596
Casuarina NT 0811
If you have any questions please contact (08) 8999 2541.