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ENTRY FORM FOR INDIVIDUALS
Entry Submission
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Please ensure that you answer each section of the Entry Form.
Please provide at least ten (10) high resolution images (minimum 1MB).
Option to provide a maximum of three supporting documents – for example, brochures, media
releases and letters of recommendation. Electronic format preferred.
Email, post or deliver the Entry Form, images and supporting documents by 5pm Tuesday 7th April
2015. Please note: applications received after the closing date will not be eligible.
Conditions of Entry
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Applications must be received by 5pm Tuesday 7th April 2015.
The project must have been conducted in South East Queensland which includes the area from
the Queensland/New South Wales border, north to Noosa and west to the Great Dividing
Range.
The project must have produced major results between 1 January and 31 December 2014,
except for the Waterways Champion Award, which must show a sustained contribution over the
past three years.
Past entrants and winners are eligible to reapply in 2015, provided their project demonstrates
substantial progress and achievements between 1 January and 31 December 2014. Past
winners of the Waterways Champion Award are not able to reapply for this award.
Information and images contained in the application or supplied as video may be reproduced
in Healthy Waterways’ promotion and publicity materials.
Entries and all supporting documents will not be returned to entrants.
Entries are judged by an independent panel of industry experts and their decision is final.
The Minister’s Grand Prize can only be awarded to a group or organisation. Individuals, as well
as entrants in the government award category, are not eligible.
All finalists determined by the judging panel will be eligible for the People’s Choice Award.
A project may be entered in multiple categories but it will only be recognised as a finalist in one
category.
Healthy Waterways and the judging panel reserve the right to determine which category the
entrant will be recognised under.
(Please tick) As author of this application, I have read and accept the Conditions of Entry. I am
an authorised representative of the nominated organisation/s.
Judging Criteria
The entries are judged on the following criteria:
Individual Submissions
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Activities and achievements of the individual
How the individual’s work aligns with the Healthy Waterways Vision and Values.
2015 Healthy Waterways Awards
Individual Award Entry Form | 1
Group & Organisational Submissions
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Project Achievements
Alignment with Healthy Waterways’ vision – healthy waterways for a healthy economy – and our
values – Partnerships, Respect, Integrity, and an Open-Minded Approach.
Innovation and challenges overcome.
Funding and resources – efficient use of funding/resources.
All Submissions
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X-factor: unique or impressive element of the entry.
Category of Entry
Of the 12 Healthy Waterways award categories, five are open to individuals who are working
towards achieving healthy waterways. This Entry Form is for all Individual award categories, including
the Waterways Champion Award. Please note that ‘Individual’ entries, as well as entrants in the
government award category are not eligible for the Minister’s Grand Prize.
Please choose which category you wish to enter from the drop down menu NB: There is a different Entry Form for Group and Organisation Award entries.
Water Warrior Award
Contact Details of nominee
Contact details of the nominee (if nominated by a third party):
Title
--Select Title--
Family/Last
Name
First Name
Job Title
Organisation
Postal
Address
City/Suburb
Post Code
Email
Phone
Mobile
Contact Details of Person Writing the application
Authorised contact for all official communication:
Title
First Name
--Select Title--
Family/Last
Name
Job Title
Organisation
Postal
Address
City/Suburb
Post Code
Email
Phone
Mobile
2015 Healthy Waterways Awards
Individual Award Entry Form | 2
Years of Commitment
How many years has the individual dedicated to the protection and improvement of South East
Queensland’s waterways?
Activities and Achievements
Within 500 words, please describe the activities and achievements of the individual nominated.
Include how their efforts have made a positive contribution to improving waterways, and the
demonstrated benefit to the local community and environment.
Alignment with the Healthy Waterways Vision and Values
Within 500 words, please describe how these activities and achievements demonstrate a
commitment to achieving healthy waterways for a healthy economy, and how this work is
underpinned by the values of Partnership, Integrity, Respect and taking an open-minded approach.
Summary of Entry
Within 80 words, please provide a summary of the entry that can be used for marketing purposes.
Suggestions include –key achievements.
2015 Healthy Waterways Awards
Individual Award Entry Form | 3
Quote
Within 30 words, please provide a quote that can be used for marketing purposes (i.e. media
release). For example, the positive impact the individual has had on the environment/community.
Please provide the name and organisation to be attributed to the above quote.
Title
--Select Title--
Family/Last
Name
First Name
Job Title
Organisation
Referees
Please provide contact details of two individuals who can support this entry:
Referee 1
Title
--Select Title--
First Name
Last Name
Job Title
Organisation
Phone
Mobile
Referee 2
Title
--Select Title--
First Name
Last Name
Job Title
Organisation
Phone
Mobile
Supporting Documentation
Please provide any supporting documentation for the submission. Please provide at least ten (10)
high resolution images (minimum 1MB) or a video as supporting documentation for the submission.
There is an option to provide a maximum of three supporting documents – for example, brochures,
media releases and letters of recommendation.
2015 Healthy Waterways Awards
Individual Award Entry Form | 4
Next Steps
Thank you for taking the time to submit an entry into the 2015 Healthy Waterways Awards. Your
entry will be judged by a panel of experts based on the material submitted. Finalists will be
announced on Tuesday12 May 2015 in conjunction with the launch of the People’s Choice Award
Campaign which calls on the public to vote for their favourite finalist.
Join us for the announcement of the award winners at the 2015 Healthy Waterways Awards Gala
Dinner. This is an exclusive opportunity to honour our waterway champions, gain insight into the
many innovative waterway health projects being undertaken in the region, as well as meet with
community leaders and industry officials. The ticket price includes a two course dinner, drinks and
entertainment.
When:
Where:
Time:
Tickets:
Early Bird:
Dress:
Friday 19 June 2015
Hilton Hotel
190 Elizabeth Street
Brisbane City
6:00pm – 10:30pm (approx)
$135pp incl GST
$120pp incl GST
Cocktail
Each finalist will receive one (1) complimentary ticket to attend the awards gala dinner. Additional
tickets and early bird rates will be available for purchase through our website from March 2015
healthywaterways.org
Good luck and thank you once again for entering the 2015 Healthy Waterways Awards.
2015 Healthy Waterways Awards
Individual Award Entry Form | 5