Governor’s NCWorks Award Page 2 of 6

INNOVATIVE PARTNERSHIP CATEGORY
NOMINATION FORM

INNOVATIVE PARTNERSHIP CATEGORY

GENERAL INFORMATION:

1.  Nomination procedures and forms may be found online at www.ncwtc.com.

2.  Awards will be presented at a banquet on the evening of October 6, 2016, at the Sheraton Four Seasons in Greensboro. If the nominee is selected to receive this award, it is the responsibility of the nominating agency to provide the necessary transportation and lodging for the nominee.

3.  One electronic (e-mail) copy of the complete nomination package must be received by the NCWorks Training Center, Attn: Jonathan Snow at , no later than 5:00 p.m. on Monday, May 2, 2016. Late nominations will not be accepted.

INNOVATIVE PARTNERSHIP CATEGORY NOMINATION CRITERIA:

Nominations not in compliance with all specifications will not be considered:

1.  Nominations must be for accomplishments and activities during July 1, 2015 - June 30, 2016.

2.  Nominees must consist of multiple entities (businesses, organizations, agencies, etc.) working in collaboration.

3.  The Innovative Partnership Award recognizes an outstanding Partnership that meets the following criteria:

¾  Contribute to the improved workforce employment and training opportunities for the state and community

¾  Create strong regional and local economies

¾  Support innovation andcreativity

¾  Measure success andimpact

¾  Be sustainable and replicable


A WORKFORCE SERVICE/PROGRAM DEFINED

For the purpose of the nominations for the Governor’s NCWorks Awards of Distinction, a workforce service or program must focus on career development, employment, and job training. Examples may include the following:

Governor’s NCWorks Award Page 2 of 6

INNOVATIVE PARTNERSHIP CATEGORY
NOMINATION FORM

• NCWorks (One-Stop) Career Centers

• CTE and Early College programs offered through the public school system

• Community Colleges

• Community-based Organizations (Non-Profits)

• Apprenticeship Training

• Supported Employment

• On-the-Job Training

• Older Worker Training

• Workforce Literacy Training

• Workforce Innovation & Opportunity Act program

• Wagner Peyser

• Work First program

• Supplemental Nutrition Assistance Program (SNAP)

• Job Corps

• Vocational Rehabilitation

• Programs for Former Offenders

• Programs for Persons with Disabilities

Governor’s NCWorks Award Page 2 of 6

INNOVATIVE PARTNERSHIP CATEGORY
NOMINATION FORM

DIRECTIONS FOR COMPLETING THE NOMINATION PACKAGE:

Section / Required Component / Instructions
I. / Nominee Information / Provide the required contact information on the attached nomination form.
II. / Nominator Information / Provide the required contact information on the attached nomination form.
III. / Nominee Accomplishments / Provide a narrative for the information requested about the nominee’s accomplishments on the attached nomination form.
IV. / Support Letter / The nomination must include a letter of support from the local Workforce Development Board. The support letter may be faxed, mailed or submitted as a PDF file.
V. / Checklist / Complete the checklist to ensure the nomination package is complete.

I. NOMINEE INFORMATION (Please list contact information for each member of the partnership below):

Partnership Nominated:
Partner 1:
Mailing Address:
Telephone Number:
E-mail address:
Contact Person:
Partner 2:
Mailing Address:
Telephone Number:
E-mail address:
Contact Person:
Partner 3:
Mailing Address:
Telephone Number:
E-mail address:
Contact Person:

Note: If there are more than three partners in this partnership, please list the additional partners on a separate sheet.

II. NOMINATION SUBMITTED BY:

Organization Name:
Mailing Address:
Contact Person:
Job Title:
Telephone Number:
Fax:
E-mail address:
Nominee:

III. NOMINEE ACCOMPLISHMENTS

A. Clearly list the entities / businesses / organizations that are being recognized as integral to this Partnership. (Text is limited to space provided below)

B. Describe the mission, goals, objectives or purpose of the Partnership. Describe the innovation that makes this Partnership unique during the specified time period. (Text is limited to space provided below)

Nominee:

C. Describe the accomplishments of the Partnership in measureable terms, including how resources were leveraged, any innovative strategies, partner contributions, and the replicability of the Partnership. (Text is limited to space provided below)

D. Describe how the Partnership has positively contributed to the local/state economy and improved workforce employment and training opportunities. (Text is limited to space provided below)

Nominee:

E. Describe the extent to which the Partnership has promoted positive community/public relations for workforce development programs and supported/encouraged individuals in need of workforce development. (Text is limited to space provided below)

V. CHECKLIST

Please complete this checklist and return with your nomination packet to:

NCWorks Training Center

Attn:Jonathan Snow –

Phone: 919-814-0386

1.  / Nominee meets criteria outlined on Page 1.
2.  / Section I – Nominee Information completed.
3.  / Section II –Nominator Information completed.
4.  / Section III – Nominee Accomplishments for the period of July 1, 2015 to June 30, 2016.
5.  / Section IV – Support letter(s) attached from the local workforce development board.
6.  / Nominating organization has submitted only ONE nomination in this category.
7.  / Submitted prior to deadline of May 2, 2016.

Nominations must be received no later than 5:00 p.m. on Friday, May 2, 2016.

Late nominations will not be accepted.