the submission form - Keep Australia Beautiful WA

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Tidy Towns Sustainable Communities
Program 2016
Western Australian Submission Form
Congratulations on entering Keep Australia Beautiful’s iconic Tidy Towns award program!
In the lead up to the 2016 Tidy Towns State Awards, this submission may be used over three
state judging processes:
(1) a panel of judges will assess information in it to shortlist state finalists;
(2) state finalists’ projects are then assessed during a regional judging visit; then
(3) a panel of judges convenes to analyse the judges’ reports to determine state
winners.
After the Tidy Towns State Awards, our overall state winner for 2016 will be visited by the
national Tidy Towns judge and a submission (very similar to this one) will help determine
success in the Australian Tidy Towns awards.
This form gives you an opportunity to highlight your best projects and initiatives in each
award category to the three judging panels. Please provide up to 400 words, in either bullet
1
point or full sentence format, in each of the categories below. Information exceeding this
limit may not be considered. Each category is worth 100 points each.
You may attach up to 4 high quality images per category to support your submission. If you
attach supporting documents please ensure they are in JPEG format and annotated and
referenced in the 400 words written for the related category.
Please submit this form, photos, any supporting documents for the judge’s visit via email to
tidytowns@kabc.wa.gov.au by 1 May 2016. The deadline is the same if you decide to post it to
Tidy Towns Sustainable Communities, Locked Bag 33, Cloisters Square, 6850. Please
telephone the Tidy Towns team on 6467 5131 or 6467 5132 if you need assistance.
Information we need completed follows.
Community Name
Local Government Authority
Name of Tidy Towns Committee
BSB:
Account Number:
Prize money made payable to
Name on Account:
Primary Contact
Postal address
Postcode
Telephone
Mobile
Email
Secondary Contact
Address
Telephone
Email
2
Categories Entered:
Please tick the category or categories you will be entering:
□ Community Action and Wellbeing □ Heritage and Culture
□ Environmental Sustainability
□ Environmental Education
□ Litter Prevention, Waste Management & Resource Recovery
□ Young Legends
Please note: Judges only assess projects that have been planned, maintained or started during the
period 1 June 2015 to 30 April 2016.
General Information:
Where is your community located?
What are the main features/industries of your community?
Volunteer Involvement: Please specify the number of community volunteers involved in the projects
in this submission and the number of hours worked collectively over the year?
(nb: Number of volunteers, number of volunteer hours eg 50 Volunteers, 500 hours over all projects)
How often does your Tidy Towns Committee meet during the year?
How many of your Tidy Towns projects were specifically aimed at engaging youth?
Photograph Use Authorisation
I _________________________(insert name) give permission to Keep Australia Beautiful Council WA to use
(free of cost) any photographs or images presented as part of the submission. I understand that they may
appear in publications, websites and audio-visual presentations promoting the program. If any children or other
parties appear in the photographs their permission or parent/guardian permission has been granted.
Signed
_______________________________
Date
________________________
You can enter one or as many categories as you wish (see overleaf). These categories assist
communities to plan, achieve and evaluate local sustainability initiatives and enable Keep Australia
Beautiful WA to gather case studies that help educate, inform and enthuse other communities.
3
Community Action and Wellbeing
Recognises achievements in creating a healthy, vibrant community that actively engages
groups from all sectors.
4
Dame Phyllis Frost Litter Prevention
Waste Management & Resource Recovery
Recognises innovation and achievements in litter prevention, reducing and managing waste.
5
Environmental Sustainability
Recognises outstanding community achievements in adaptation to environmental change.
In 400 words max please tell us either about 1 project/activity/ group
OR
a short overview of projects specializing in each of the areas mentioned below.
Project/Activity/Group
6
Nature Conservation initiatives and activities focusing on the preservation and enhancement of the
natural environment and support of biodiversity.
Water management and education within communities. Combined innovative water conservation and
water reuse initiatives at private, industrial and municipal levels, to the benefit of society and nature.
Energy management and education which focuses on innovative energy efficiency measures and
climate change issues, aiming to reduce energy use and greenhouse gas emissions.
7
Heritage and Culture
Recognises outstanding commitment to the conservation and celebration of a community’s
indigenous and non-indigenous heritage and culture.
8
Young Legends
Recognises achievement by an individual or group/s of young people (under 25) who have
contributed to the sustainability of their community.
9
Environmental Education
Recognises an outstanding initiative, organisation or community for its innovative
environmental advocacy and/or awareness program across any/all criteria.
10
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