NationalYouth Worker of theYearAwards 2015

NOMINATION FORM

YOUTHLINK SCOTLAND

Please Note:All information provided in this form may be used for PR purposes in relation to theAwards and the eventual finalists and winners. Please ensure all the information is accurate and is suitable for use in the public domain.

Information relating to this form can be found in the accompanyingdocument:

Guidance and Information for Nominators.

In addition, a hi-res image of the person you are nominating must be submitted by email to - please see guidance notes.

NOMINEE DETAILS

Name of Nominee: Organisation/Project: Address: (Line 2)

(Line3) Postcode: Tel: Email: Category:

NOMINATOR DETAILS

Nominatedby: Job Title: Organisation/Project: Address: (Line 2)

(Line 3) Postcode: Tel: Mobile: Email:

Key contact for PR purposes (if different from above)

Name: Tel: Mobile: Email:

SUPPORTING STATEMENT

Please provide a statement from a young person to endorse your nomination. The young person should have directly benefitted from the work of your nominee.(250 words max)

Please note this applies to all categories except Innovative PracticeTeam of theYear, Manager and LifetimeAchievement.

Name: Tel: Email:

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ORGANISATION INFORMATION

Please provide a summary of what your organisationdoes, core purpose, activities, initiatives, key achievements etc. (250 words max)

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NOMINEE INFORMATION - PART 1

What makes your nominee a prospective winner in this category? (250 words max)

This information will be used to judge your nomination and may be used for PR purposes in support of theAwards.

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NOMINEE INFORMATION - PART 2

Tell us about your nominee’s achievements in relation to this award category.

(250 words max)

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NOMINEE INFORMATION - PART 3

If your nomination is successful, you will be asked to take part in a short piece of filming explaining why you have nominated this person(s) and why for this specific award category. Please use this space to provide a summary of what you say in relation to these questions. (250 words max)

1Why is this person worthy of a nomination for the NationalYouth Worker of the YearAwards?

2What make our nominee stand out, why could they be described as truly inspirational?

3How have they made a difference to the lives of young people, what impact have they had?

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PR QUOTE

Please provide a written quote for PR purposes that can be used in your name that explains why you have nominated this person. (200 words max)

The information given in Part 3 should help to frame your quote.

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PERMISSIONS

I give permission for all quotes, photographs and information on this form to be used byYouthLink Scotland for publicity purposes including media coverage.

YesNo(please delete as appropriate)

I am happy to be contacted by print and broadcast media for interview both pre and postAwards and for my contact details to be shared with media colleaguesfor the purpose of theAwards only.

YesNo(please delete as appropriate)

FINALCHECKLIST

1Attach any additionalmaterials to support your nomination (Please remember we cannot return these).

2Check that all the information is correct including contact details.

3Photograph has been sent to clearly labelled- with the name of your nominee.

4If nominating the same person in more than one category please remember the criteria for each category differs and a separate nomination form is required for each category.

5Permisson boxes above have been ticked.

6Nominee’s full name is written on applicable pages of the nomination form.

Please return your completed nomination form(s) to the followingdetails, no later than Thursday 18 December 2014 to:

Susan Symington

Information and Events Officer YouthLink Scotland

9 HaymarketTerrace Edinburgh

EH12 5EZ

2014AWARD SPONSORS

The followingorganisationssponsored the NationalYouth Worker of theYearAwards 2014:

YouthLink Scotland

CLD Standards Council for Scotland The Scottish Government

Young Scot SQA

Education Scotland Scottish Community Safety Network

Scottish Fire and Rescue Service The Duke of Edinburgh’sAward Generations Working Together

YOUTHLINK SCOTLAND

YouthLink Scotland

Rosebery House, 9 HaymarketTerrace, Edinburgh EH12 5EZ

T: 0131 313 2488 E: W:

YouthLink Scotland is a company limited by guarantee. Registered in Scotland No: 164547 Charity Ref: SC003923