Working Registration Form

All applications are subject to the Eligibility Information and Conditions of Entry outlined below and must accept to proceed.

Eligibility to apply

All Western Australian state public sector entities, departments, state government agencies, statutory authorities, universities, local government authorities and government trading enterprises (GTEs) were eligible to apply for any Award category.

Applications must reflect work led by a public sector agency other than the Department of the Premier and Cabinet (DPC) or the Public Sector Commission (PSC). Applications will not be accepted if they reflect a lead by a non-Government entity, DPC, or PSC.

Applications may reflect the efforts of multiple agencies, agency work teams or partnerships with Commonwealth departments, local government or non-Government organisations. Applications may be made on behalf of the entire agency, a division, branch, component, group, or individual employee.

Conditions of entry

Agencies are not to engage consultants to assist in the preparation or completion of applications (including professional printing and visual material).

Although agencies may submit multiple applications if they have a variety of projects, the 2012 Awards will limit agencies to one-application-per-project. Where a project may satisfy the criteria of multiple categories, agencies must use their discretion to apply for the most appropriate category that will ensure their project is competitive. Applications submitted for the same project - or parts thereof - across multiple categories will not be accepted (please consult with any partner agencies to jointly submit one application).

Submitted materials (Online Application, executive summary, visual materials etc) and information on an applicant’s website (or that of partner agencies) may be used in whole or in part by the Public Sector Commission in any communications material related to the Awards. Agencies may not be advised of the information to be used. The Commission encourages agencies to ensure that their materials are up to date, comprehensive and compelling.

The Public Sector Commission may refuse to proceed with an application at any time in the process.

Please note that word versions of this application form will not be accepted. The application must be lodged via the PSC website at:

Once applications have been submitted online, they cannot be edited or amended.

Conditions of Acceptance

Accept Terms and Conditions *

We accept the Terms and Conditions outlined in the ‘eligibility to apply’ and the conditions of entry’

CEO approval *

We understand that the application requires Chief Executive Officer / Direct General verification (via email) to proceed in the application process.

Materials to PSC *

We understand that any materials provided can be used by the Public Sector Commission in promotional material related to the Awards; this may include promotional booklets and postings in the Intersector.

* = mandatory field on the web registration form

Project Details

Project Title *

Executive Summary *

Gives brief overview of project - up to 250 words

Project Status

Agency*

State Government / Local Government / Public University / Other ______

Award Category *

You may only select one per application, but projects can be submitted for multiple categories.

Is this project a joint submission with another organisation? *

Yes

No

Primary Contact in Lead Agency

Primary Contact Person Name *

Agency*

State Government / Local Government / Public University / Other ______

Agency Name*

Postal Address

Email Address *

Contact phone number *

Alternative Contact Person in Lead Agency

Alternative Contact Person Name *

Agency

State Government / Local Government / Public University / Other ______

Agency Name*

Postal Address

Email Address *

Contact phone number *

Director General / Chief Executive Officer Details of Lead Agency

Name *

Title *

Director General/ Chief Executive OfficerEmail Address *

Secondary Agency One Contact Details (If applicable)

Please note that the agency names here will be published when reference is made to this project including articles in the Intersector and on the awards certificates.

Name

Title

Email Address

Agency

State Government / Local Government / Public University / Other ______

Contact phone number

Secondary Agency Two Contact Details (If applicable)

Name

Title

Email Address

Agency

State Government / Local Government / Public University / Other ______

Contact phone number

Secondary Agency Three Contact Details (If applicable)

Name

Title

Email Address

Agency

State Government / Local Government / Public University / Other ______

Contact phone number

Secondary Agency Four Contact Details (If applicable)

Name

Title

Email Address

Agency

State Government / Local Government / Public University / Other ______

Contact phone number

If there are more than four partner agencies, please email us after completing this form with the details of the additional entries: .

General Criteria for all submissions

Describe how your project furthers the agency’s mission and deliver efficiencies and outcomes that maximise long term benefits for Western Australians (write up to 250 words)

Describe how your project demonstrates dynamic, ethical leadership practices and innovative solutions for the public sector (write up to 250 words)

Describe how your project demonstrates positive social, economic and/or environmental impact (write up to 250 words)

Describe how your project is comprehensively evaluated for results, effectiveness and outcomes, or has an evaluation plan in place (write up to 250 words)

Category Specific Questions - Developing the Economy

Describe how your project delivers positive outcomes that promote opportunity and support the economy (write up to 250 words)

Describe how your project responds to changing priorities and prepares for the future (write up to 250 words)

Category Specific Questions - Strengthening Families and Communities

Describe how your project delivers outcomes to improve the quality of life, health, education, safety or social justice or other priority outcomes for Western Australians (write up to 250 words)

Describe how your project nurtures the potential of families, young people, seniors and community to benefit from and contribute to Western Australian society (write up to 250 words)

Category Specific Questions - Improving government

Describe how your project delivers outcomes that improve public sector systems and service delivery.(write up to 250 words)

Describe how your project enhances efficiency, accountability, workforce capacity or community confidence in thepublic sector.(write up to 250 words)

Category Specific Questions - Managing the environment

Describe how your project delivers outcomes that protect or enhance the environment.(write up to 250 words)

Describe how your project balances development with efficient and responsible use of resources.(write up to 250 words)

Category Specific Questions - Revitalising the regions

Describe how your project achieves better outcomes for regional Western Australia.(write up to 250 words)

Describe how your project Stimulates and sustains regional investment or strengthens regional businesses and communities.(write up to 250 words)

Category Specific Questions - Improving Indigenous Outcomes

Describe how your project delivers positive outcomes in Indigenous employment and participation. (write up to 250 words)

Describe how your project delivers recognisable benefits to Indigenous communities(write up to 250 words)

Step 4 of 4 – confirm details

Confirm the details are correct *

We confirm these details are correct

Accept Director General / Chief Executive Officer Approval *

We accept that the application requires Chief Executive Officer / Director General verification (via email) to proceed in the application process

Other agency/s will receive receipt/s*

We understand that the information provided in this application will be sent to the joint agencies listed in this application (if any).

No further changes *

We understand that once the application is submitted no further edits can be made

This is a working document for your application.

The application must be lodged via the PSC web registration form located at: