2018 Play Your Part Awards Nomination Form

Who can enter?

The nominated work must have been running for at least 12 months.
The nominated work must be focussed on primary prevention activities or programs that reduce children's risk of experiencing abuse and neglect. Primary prevention promotes children's safety and wellbeing, which is different to a tertiary service which responds when harm has already occurred.
Self nominations are welcome.

If you need help completing your nomination, please contact NAPCAN on 02 8073 3300.

Your contact details

NB: Please create an account first (optional) if you wish to save your progress and fill out the form later.

Save & Return

Save your progress and complete this form later. (optional)

Name: *

Organisation:

Email: *

Phone number *

Relationship to the nominee: *

Nominee information (who you are nominating for an award)

My nomination is for: *

An initiative (i.e. a project involving a group of workers)

An individual's work (this can be yourself)

This work is undertaken predominantly: *

As part of a paid job

As a volunteer

Unsure Unsure

Name of initiative or individual being nominated: *

Organisation:

Website:

Email: *

Phone number *

Address: *

State or territory where initiative/individual is based: *

Further details

Please provide an overview of the work. (This should be something that anyone can read and understand. It will be used to help us with promotional material if an award is received). *

0/400 words

Do all those directly involved in the initiative have a Working With Children Check? *

Yes

No

Unsure

Has the person or initiative won any awards in the last 3 years? *

Yes

No

Unsure

When was the approx. start date of the work or initiative? *

If yes, please state the name of the award and the year it was received.

Who is the target audience? *

0/200 words

Who are the partners and what are their roles?

0/200 words

What is the geographic reach of the work? *

How does the work PREVENT child abuse and neglect? *

0/400 words

How did you find out about NAPCAN's Play Your Part Awards? *

Has the work been evaluated? *

Yes

No

Please upload any supporting documentation e.g. evaluations, surveys, research, media coverage and photographs. (These will be beneficial to your application).

Is there anything else you need us to know?