Are you part of a Learn Local partnership that is providing solutions to local training needs?
Are you proud of the program that has been created? Would you like your program partners to get recognition for their work too?
Then nominate for the Victorian Learn Local Excellence in Creating Local Solutions Award.
The winning organisationwill receive $10,000 and two finalists will receive $1,000 each.

Application form: Excellence in Creating Local Solutions

Submit nominations by email to
Nominations for the 2018 Victorian Learn Local Awards close 5pm Friday 8 June 2018.

Applicant’s details:

Nominator’s Name: ______

Organisation: ______

Email: ______

Phone: ______

Postal Address: ______

Program Details:

Name of Program: ______

Learn Local Provider: ______

Organisation Contact: ______

Email: ______

Phone: ______

Postal Address: ______

Partner details:

Name of Business/es and Key Contact/s: ______

Referee’s details:
If you are nominating a program from your own organisation please provide the name of the independent person who can act as a referee. Please obtain their permission before naming them on this form.

Referee’s Name: ______

Organisation: ______

Email: ______

Phone: ______

Nomination questions:

Section 1: Program/Project description

  1. What local issue is being addressed through the program/project?
  2. Why was the particular local issuechosen to be addressed?
  3. Describe who is involved in the program/project, including partners and learner groups?
  4. How does the program/project achieve its aims?
  5. What is unique or creative about this program/project’s approach to addressing the local need?
  6. Why was this approach chosen as the best option to create a solution to the local need?

Section 2: Program/Project outcomes

  1. When was the program/project established and delivered?
  2. How many learners have participated in the program/project since it was established?
  3. Provide evidence of what participants (including learner groups, partners and the lead Learn Local provider) have achieved that can be attributed to the program/project.
  4. What plans are in place for the program/project for the next 12 months?

Conditions of Entry

A nominee and nominator must read and agree to the conditions of entry prior to a nomination being submitted. The nominee must sign the Nomination Declaration form, additionally the partners in the nominated program/project must each sign the Partners Declaration form. Scanned copies of the completed forms must be attached with the nomination. Refer to the Conditions of Entry document located on the Learn Local Awards website for more details (

Declaration:

I, the nominator, have read and accept the Conditions of Entry for the 2018 Victorian Learn Local Awards.

I have notified the nominee that I have submitted this nomination.

I have notified the partner/s that I have submitted this nomination.

Signature: ______Date: ______