WESTERN AUSTRALIA INSTITUTE OF PUBLIC ADMINISTRATION (IPAA WA) ACHIEVEMENT AWARDS Assessment Criteria Young Leader of the Year The major aim of the IPAA WA Achievement Awards is to recognise individual and organisational excellence in public service. These Awards are open to any employee or organisation (as applicable) that works in Western Australia in any tier of public service including Local; State; Federal; Not-forProfit and the Academic sector. Please read the “Important Information for Applicants” section of this form before you start filling in the criteria. Page 1 of 10 IMPORTANT INFORMATION FOR APPLICANTS – PLEASE READ 1. Please use Verdana size 12 font and single spacing in this assessment criteria form. 2. Please do not exceed the maximum page limit per criteria (additional pages will not be accepted by the judging panel). 3. Please respond and submit only the assessment criteria permitted in this form. Additional information can be electronically submitted in ONE separate supporting document (up to 5MB in size) and uploaded to the Online Entry Form along with this Assessment Criteria at http://www.wa.ipaa.org.au/Achievement-AwardsEntry-Form-.aspx. 4. Please contact the Institute via email awards@ipaawa.org.au for assistance or phone (08) 9360 1400 for enquiries relating to the IPAA WA Achievement Awards. Page 2 of 10 Nomination Details The individual I wish to nominate is: Title: Please select First Name: Click here to enter text. Last Name: Click here to enter text. Position: Click here to enter text. Organisation: Click here to enter text. Email: Click here to enter text. As a nominator, you must be a current Personal, Associate or Corporate Member of the WA Institute of Public Administration Australia (IPAA WA). For more details on membership visit http://www.wa.ipaa.org.au/Membership.aspx Page 3 of 10 Assessment Criteria C1. Describe how the nominee has demonstrated excellence in public administration and management over recent years (maximum 2 pages). Click here to enter text. Page 4 of 10 C2. Outline how the nominee has demonstrated an active use of best practice in their role(s) (maximum 2 pages). Click here to enter text. Page 5 of 10 C3. Provide a statement on how the nominee has demonstrated active support and fostering of other young leaders / professionals (maximum 1 page). Click here to enter text. Page 6 of 10 C4. Demonstrate how the nominee has improved service delivery to their local community or to Western Australia. Please provide examples (maximum 2 pages). Click here to enter text. Page 7 of 10 C5. Provide a summary of achievement in the nominee’s current organisation and community (maximum 1 page). (Upload the nominee’s CV as supporting documentation via the Online Entry Form) Click here to enter text. Page 8 of 10 C6. Provide a statement on where the nominee sees themselves in 5 years time (maximum 1 page). Click here to enter text. Page 9 of 10 Applicant Declaration The nomination must have internal approval from the appropriate person within your agency / organisation. The person completing the Applicant Declaration section of the Assessment Criteria must not be the nominated person (for that award) and is deemed to be authorised to approve the nomination on behalf of your agency / organisation. I declare that I am authorised to complete, sign and submit this application. I declare that I have read and understood the conditions within the Conditions of Entry. I understand that I may be requested to provide further clarification or documentation to verify the information supplied in this application and that IPAA WA may, during the application process consult with other agencies about the claims in the application. I declare that the information contained in this application together with the statement attached is, to the best of my knowledge and belief, true, accurate and complete in all material particulars. I also understand that the provision of a false or misleading statement in this application is a serious offence and may result in this application being deemed ineligible. I understand that the applicant has and will, while undertaking the activities specified in this application, maintain records that substantiate the undertaking of the activities. Title: Please select First Name: Click here to enter text. Last Name: Click here to enter text. Position: Click here to enter text. Organisation: Click here to enter text. Email: Click here to enter text. To complete your application, please save this form as a Word Document or PDF and upload via the online Entry Form: http://www.wa.ipaa.org.au/Achievement-Awards-Entry-Form-.aspx Page 10 of 10