Do you know a learner who participated in a pre-accredited program in 2017?
Have they gone on to achieve more since completion? Then nominate them for The Ro Allen Award – Recognising Pre-accredited Learner Excellence.
The winner of this award will receive $5,000 and two finalists will each receive $1,000.

Application form: The Ro Allen Award – Recognising Pre-accredited Learner Excellence

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:

Learner’s details (if different from applicant):

Nominee’s Name: ______

Email: ______

Phone: ______

Postal Address: ______

Program details:

Pre-accredited Program(s) Name: ______

Learn Local provider(s) at which above Pre-accredited Program(s) was/were delivered: ______

Nomination questions:

Eligibility

  1. Briefly describe the pre-accredited program(s) that the nominee (ie. the learner) participated in during 2017.
  2. Was the learner aged between 25 and 65 years at the time that they undertook the above pre-accredited program(s)? YES / NO

Section 1: Learning achievements and engagement

  1. What skills has the learner gained as a result of participating in the pre-accredited program(s)?
  2. What education and/or employment pathways are available for or have been achieved by the learner as a result of their participation in the pre-accredited program(s)?
  3. How does the learner demonstrate a high level of engagement with their learning?
  4. What plans does the learner have for the next 12 months in relation to further training, employment, volunteering?

Section 2: Enhancement of personal skills and attributes and other achievements

  1. What did you or others observe in the learner’s interpersonal skills and attributes that can be attributed to their participation in the pre-accredited program(s)?
  2. What community connections has the learner developed as a result of their participation in the pre-accredited program(s)?
  3. Describe any leadership or mentoring roles that the nominee has taken up since their participation in the pre-accredited program(s) (This question is not mandatory).

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: ______