Do you offer a Learn Local pre-accredited program that is creating pathways for learners?
Then nominate it for the Victorian Learn Local Pre-accredited Pathway Program Award.
The winner of this award will receive $10,000 and two finalists will receive $1,000 each.

Application form: Pre-accredited Pathways Program

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: ______

Referees 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 description

  1. Describe the program and its activities.
  2. What learner group(s) is the program targeted to?
  3. What type of pathways does the program create for learners?
  4. In the development of the program, how was the creation of pathways for learners ensured?
  5. What makes this program special?

Section 2: Program outcomes

  1. How long has the program been running?
  2. How many learners in total have participated in the program?
  3. How many learners have gone on to further training, employment or volunteers roles?
  4. Provide at least two examples of pathways learners have developed through their participation in the program?

Section 3: Additional questions

Answer at least one of the below questions, you do not need to answer all three. Choose the one that best matches the program being nominated.

10.How does the program connect with the work/offerings of other organisations?

11.How does the program connect with business or industry (individuals or groups)?

12.How does the program support learners to engage with their community?

Conditions of Entry

A nominee and nominator must read and agree to the conditions of entry prior to a nomination being submitted. A nominee must sign the Nomination Declaration form and a scanned copy 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.

Signature: ______Date: ______