Australian Clean Beaches Awards 2016
Western Australian Submission Form
Congratulations on registering for Keep Australia Beautiful’s iconic Clean Beaches award program!
In the lead up to the call for nominations for the 2016 Australian Clean Beaches Awards, this
submission will be used to inform a panel of judges to shortlist three potential candidates to
represent Western Australia.
Those shortlisted will be visited by a state judge and a submission (very similar to this one) will then
need to be completed to inform the national judge’s visit.
This form gives you an opportunity to highlight your best projects and initiatives in each award
category. Please provide up to 400 words, in either bullet 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.
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.
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Please submit this form, photos, any supporting documents for the judge’s visit via email to
cleanbeaches@kabc.wa.gov.au by 1 May 2016. The deadline is the same if you decide to post it to
Keep Australia Beautiful (WA), Locked Bag 33, Cloisters Square, 6850. Please telephone the awards
team on 6467 5131 or 6467 5132 if you need assistance.
Information we need completed follows.
Name of Beach
Local Government Authority
Primary Contact
Postal address
Postcode
Telephone
Mobile
Email
Secondary Contact
Address
Telephone
Email
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
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________________________
Community Action and Wellbeing
Recognises achievements in creating a healthy, vibrant community that actively engages
groups from all sectors.
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Dame Phyllis Frost Litter Prevention
Waste Management & Resource Recovery
Recognises innovation and achievements in litter prevention, reducing and managing waste.
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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
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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.
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Heritage and Culture
Recognises outstanding commitment to the conservation and celebration of a community’s
indigenous and non-indigenous heritage and culture.
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Young Legends
Recognises achievement by an individual or group/s of young people (under 25) who have
contributed to the sustainability of their community.
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Environmental Education
Recognises an outstanding initiative, organisation or community for its innovative
environmental advocacy and/or awareness program across any/all criteria.
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