PYP Award Nominations Form 2017

Who can enter?

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

Short on time? Give NAPCAN a call.

To be showcased as a Play Your Part Award recipient is a unique opportunity to present inspiring prevention work to politicians and potential funders across the country, and we want to ensure that all interested individuals or organisations are able to nominate.

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

To access the Play Your Part Awards Frequently Asked Questions (FAQ) and for more information, please click here.

My nomination is for:*

An initiativeAn individual

Is this work undertaken predominantly:*

As part of a paid jobAs a volunteerUnsure

Name of individual or initiative*

Organisation

Website

E-mail*

Phone Number*

Area CodePhone Number

Address

Street Address

Street Address Line 2

Suburb/TownState / Province

Postcode

State or territory where the individual is based*

Please provide an overview of the work*

0/400

Do all staff have a Working With Children Check?*

YesNoUnsure

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

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

YesNoUnsure

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

Who is the target audience?*

Who are the partners and what are their roles?

What is the geographic reach of the work?*

How does the work PREVENT child abuse and neglect?*

0/400

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

Has the work been evaluated?*

YesNo

Please upload any supporting documents e.g. evaluations, surveys, feedback, research, media coverage, photographs. (This will be beneficial to your application)

Upload a File

Is there anything else you need us to know?

Is this a self-nomination? If not, please complete your details below *

YesNo

Name

First NameLast Name

Organisation

E-mail

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

Suburb/TownState / Province

Postcode

Relationship to the nominee

Nominee information (who you are nominating)

Nominator information (your details)