about the awards - activ: disability services & · web view(note: files must be word...

2017 WA Disability Support AwardsNomination Form

About the Awards

The WA Disability Support Awards recognise and reward people who provide the highest

standard of support to increase the quality of life and inclusion of people with disability.

The Awards celebrate the achievements of people who demonstrate excellence, passion,

vision and commitment to supporting people with disability. They recognise those who go

beyond ordinary standards of service and have a profound impact on the lives of the people

they work with and support.

The Awards showcase the disability services sector as a place of innovation, a place for

employment and a place to have a career.

About the Awards ceremony

Finalists and winners will be announced at a gala dinner on Saturday 29 April 2017 at

Crown Perth. Winners of each category will receive a cash prize of $2000 and a trophy.

Tickets for the gala dinner will go on sale in January 2017. Information about the Awards is

available on www.dswa.org.au and you can also keep up-to-date with the Awards by liking

us on Facebook – www.facebook.com/DSWAwards

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http://www.facebook.com/DSWAwards

http://www.dswa.org.au/

Before making a nomination

Please read the Nomination Guidelines before completing this nomination form. The Nomination Guidelines provide more information about the Awards, Conditions of Entry, and

tips on completing this form.

The Nomination Guidelines can be accessed from www.dswa.org.au or by contacting NDS

WA on phone 08 9208 9812 or email [email protected].

To save your Nomination Form onto your computer select the File tab on the top toolbar then Save As and change the title of your document to include the nominees name in some

way (for example ‘2017 DSA Nomination_JohnCitizen.doc’).

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mailto:[email protected]

http://www.dswa.org.au/

Part 1: Award Category

This nomination is for:

☐ Excellence in Personal and Community Support Award

This award recognises a person or team who has made a significant contribution to

providing support that builds on capacity and confidence of a person with disability.

This can include assisting people with disability to live independently, supporting or

building family capacity, and providing people with disability with increased choices,

opportunities to build skills, knowledge, and experiences.

☐ Excellence in Improving Participation Award


improving the community participation, citizenship and inclusion of people with

disability. This can include assisting people to participate in activities of interest in

their community.

☐ Excellence in Leadership Award

This award recognises a person who works in the disability sector and has shown

outstanding leadership ability, skill and a commitment to raising awareness of

disability and influencing others to provide high quality support to people with

disability. A nominee can be an individual who provides direct support and/or leads a

team. This person does not necessarily need to work in a managerial or supervisory

role.

☐ Excellence in Improving Employment Opportunities Award

This award recognises a person or team who has made a significant contribution in

improving awareness of employment of people with disability and/or have supported

people with disability to achieve satisfying and meaningful employment outcomes.

This can include assisting a person with disability to develop a micro-business,

experience work, develop the skills to work, or find and keep a job.

☐ Excellence in Regional Support Award3


providing quality supports, services and opportunities to people with disability living in

regional WA.

☐ Excellence in Advocacy and Rights Promotion Award


supporting and promoting the rights of people with disability. This can include

assisting people with disability to understand their rights, to assist people in

understanding opportunities and choices available to them, and to develop the skills

to make independent decisions and self-advocate.

Note: Only one award category can be selected. If you are making more than one

nomination for a support worker, you must create a separate nomination for each of the

award categories. This will help the judges to score nominations, and assist with selecting

the winner of the Overall Award for Excellence from the winner of each category.

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Part 2: Nominee information (the person being nominated)

Name: r r Click he e to ente text.

Position title: r r Click he e to ente text.

Employer (organisation name or name of the person or family who directly employ workers):

r r Click he e to ente text.

Email: r r Click he e to ente text.

Telephone number: r r Click he e to ente text.

Work address: r r Click he e to ente text.

Suburb where the nominee lives: r r Click he e to ente text.

Nominee consentIt is important to tell the nominee about their nomination and to make sure they agree to

being nominated. It is also important to tell the nominee that NDS WA, the Government of

Western Australia and event sponsors may use any information, photographs and/or

videos you include in your nomination for promotional purposes.

Please complete the following section to show the nominee has given their consent:

Is the nominee aware of this nomination and provided consent? (click to select)

☐ Yes

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Part 3: Nominator(s) Information (the people making this nomination)

Name(s): r r Click he e to ente text.



Relationship to the nominee (please click to select from the following):

☐ Person with disability, being supported by and/or employing the nominee

☐ Family member or carer of a person with disability

☐ Colleague or manager

☐ Other, please specify: …………………………………………………………………..…

If this nomination is made by a colleague or manager, and is supported by a person with disability, family member or carer, please provide the details of this person below. Name: r r Click he e to ente text.



Please ensure that a testimonial or feedback from the person with disability, family member

or carer is included in the nomination. If a testimonial or feedback is not included in the

nomination, the nomination cannot be accepted. This does not have to be long

(approximately 300 words) but does need to describe how the nominee has gone beyond

ordinary standards of service which has had a significant impact and made a difference to

the lives of the people with disability who they work with and support.

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Part 4: Nomination format

Please let us know the format of your nomination (click to select). This will help us to keep a

track of nominations and make sure any information you attach is linked to this nomination

form.

☐ Written or typed (please use the pages at the end of this document)

☐ Written or typed with photographs or attachments

☐ Video

☐ Audio

☐ PowerPoint

☐ Other (please specify): …………………………………………………………………..…

Please note:

The nomination form and any included photographs and/or videos will not be returned

to you.

Please make sure any people in photographs or videos have given their consent for

the image or video to be used.

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Part 5: Why are you nominating this person?

The Awards celebrate and reward people who provide support of the highest standard and

have a profound impact on the lives of the people they support and work with.

It is important to include stories and examples about how the person being nominated has

had a positive impact on your / the person’s life. This could include, but is not limited to,

improving general quality of life, health and well-being, networks and relationships,

employment opportunities, the choices that are available, building skill, knowledge and

confidence.

Disability service organisations making nominations for their staff are asked to work with or

include people with disability who receive support, their families and carers or people who

know the person best, when making a nomination.

Tips for writing this nomination

Try to explain or tell the story of what the nominee does and the impact it has had on

your life, the life of your family member, or other people with disability.

It is useful to address the ‘Questions to Consider’ which are different for each award

category; and are outlined in the Nomination Guidelines.

Use real examples that can be easily understood.

Don’t use abbreviations or language people don’t easily understand.

Don’t make general claims about the person, for example ‘He has great patience and

compassion’, ‘She has a can do attitude’, or ‘he supports choice and control’ unless

you can back them up with real examples.

If possible, don’t hand-write responses, use 12 point Arial font on the nomination

form.

When making nominations it will be useful to address the ‘questions to consider’ which are different for each award category and are outlined in the following pages.

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1. Excellence in Personal and Community Support Award


providing support that builds on capacity and confidence of a person with disability.

This can include assisting people with disability to live independently, supporting or building

family capacity, and providing people with disability with increased choices, opportunities to

build skills, knowledge, and experiences.

Examples could include:

Commitment to supporting a person with disability with complex needs to achieve

specific personal goals.

Assisting people with disability in shared supported accommodation to reconnect

with family, or broaden their networks.

Supporting a person with disability to develop their independence, skills and

confidence.

Supporting or building family capacity.

Walking alongside a family or person with disability during times of difficulty.

Questions to consider:

What has the person done or what are they doing that demonstrates true

excellence?

How has the person (or team) had a positive effect in your life/the life of a person

with disability?

What are you/the person with disability involved in now that is new, has been

improved by, or made possible through the support of this person (or team)?

What is it about the person (or team) that makes you want to nominate them for

this award?

What has the person (or team) done or what are they doing that is different from

other support workers? Please explain how do they do it?

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2. Excellence in Improving Participation Award


improving the community participation, citizenship and inclusion of people with disability.

This can include assisting people to participate in activities of interest in their community.


Supporting people with disability to have an active and valued role in an

organisation, service, or community association.

Commitment to improving the accessibility of communication, information and/or

facilities in the community.

Actions that ensure people with disability can access and participate in activities of

their interest and choice.



excellence?


with disability?

What are you/the person with disability involved in now that is new, has been

improved by, or made possible through the support of this person (or team)?


this award?


other support workers? Please explain how do they do it?

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3. Excellence in Leadership Award

This award recognises a person who works in the disability sector and has shown

outstanding leadership ability, skill and a commitment to raising awareness of disability and

influencing others to provide high quality support to people with disability.

A nominee can be an individual who provides direct support and/or leads a team.

Please note: the person does not have to be in a leadership position, managerial or

supervisory role to be nominated rather the person needs to have shown leadership

qualities, such as:

Supporting the development of programs or initiatives that promote the inclusion of

people with disability in the community.

Driving the re-development or strengthening of existing programs towards more

flexible, personalised models of support.

Providing opportunities for people with disability to have their say in how services

are provided, including the review of their supports and the selection of support

workers.

Providing support and mentoring to other staff to promote their growth and

development and to shape the quality of the support provided.



excellence?

How has the person shown their leadership skills? How have they demonstrated

leadership when supporting you or other people, or when working as part of a

team, and/or when in the community?

How has the person assisted other support workers or made well thought-out

suggestions for improved services to provide better support, to grow and/or

develop their skills and thinking?

How has the person been creative and resourceful in finding ways to better

support you and/or people with disability?

What is it about the person that makes you want to nominate them for this award?

What have they done, what do they do and how do they do it?

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4. Excellence in Improving Employment Opportunities Award

This award recognises a person or team who has made a significant contribution in

improving awareness of employment of people with disability and/or have supported people

with disability to achieve satisfying and meaningful employment outcomes. This can include

assisting a person with disability to develop a micro-business, experience work, develop the

skills to work, or find and keep a job.


Developing innovative, personalised approaches to the employment of people with

disability.

Increasing employment of people with disability.

Working with employers to reduce barriers and disincentives to the employment of

people with disability.

Supporting people with disability to build their skills and work towards employment.

Supporting a person with disability with starting, sustaining and developing a

micro-business.

Nominees can be an individual or a team of support workers who provide direct support.

Nominees can include people providing employment support via Disability Employment

Services (DES), Australian Disability Enterprises (ADE), but also workers employed directly

by people with disability or by disability service organisations.



excellence?


with disability?

How has the person (or team) supported you/a person with disability with specific

employment goals? What are you/the person with disability doing now that is new,

has been improved by, or made possible, through the support of this person (or

team)?


this award?


other support workers? Please explain how do they do it?12

5. Excellence in Regional Support Award


providing quality supports, services and opportunities to people with disability living in

regional WA.

Regional refers to areas within Western Australia that are outside the Perth metropolitan

area; defined by Yanchep to the north, Bakers Hill to the east and Mandurah to the south.


Commitment to providing or developing services that are sensitive to the needs and

culture of Aboriginal people with disability.

Overcoming specific regional barriers, such as geographical isolation, to provide

services.

Working collaboratively with community groups, other sectors and other disability

service organisations to develop services that support the inclusion of and improved

quality of life of people with disability who live in regional and rural Western Australia.

Innovative use of technology to engage people in their chosen community and/or in

supports and services.


What has the person does or what are they doing that demonstrates true

excellence?


with disability?

What are you/the person with disability doing now that is new, has been improved

by, or made possible through the support of this person (or team)?

How has the person (or team) been creative and resourceful in finding ways

overcome issues to better support you/person with disability? What were the

issues? What did they do?


What have they done, what do they do, and how do they do it?

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6. Excellence in Advocacy and Rights Promotion Award


supporting and promoting the rights of people with disability. This can include assisting

people with disability to understand their rights, to assist people in understanding

opportunities and choices available to them, and to develop the skills to make independent

decisions and self-advocate.

Nominees can be an individual or a team of people in various roles in the disability sector,

including support workers, disability advocates and people providing peer supports.


Developing human rights or self-advocacy training for people with disability,

families and carers or support workers to support greater awareness of individual

rights.

Taking effective action and supporting others to reduce restrictive practices.

Advocating on behalf of, and/or supporting people with disability to develop self-

advocacy skills.

Providing support to vulnerable people with disability to participate on an equal

basis with others.



excellence?

How has the person (or team) promoted or supported your rights/or the rights of

people with disability? How has the person (or team) supported you?

How has the person (or team) had a positive impact on your life/the life of a person

with disability?

What are you/the person with disability doing now that is new, has been improved

by, or made possible through the support and/or advocacy the person (or team)?


What have they done, what do they do, and how do they do it?

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Written nomination section

Please use the following three (3) pages to make your written nomination, including

feedback or testimonial from people your nominee supports. Please attach photographs or

supporting documents separately.


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Submitting your nomination form

Nominations must be received by 5.00pm Friday 24 February 2017 by email or mail.

Email: [email protected]

(Note: files must be Word format and smaller than 5MB)

Mail: Disability Support Awards

National Disability Services WA

PO Box 184, Northbridge WA 6865

Further information or support:

If you need more information or help to make a nomination contact Jenny Gleeson, Projects

Officer, NDS WA on telephone 08 9208 9857 or email [email protected]

Thank you for participating in the 2017 WA Disability Support Awards, which are hosted by NDS WA in partnership with Disability Services Commission.

Mark your diary!

The 2017 WA Disability Support Awards will be held on Saturday 29 April 2017 at Crown Perth. Tickets go on sale in January 2017.

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