Adult Learners' Week 2014 Awards

You are about to start an online nomination for the Adult Learners' Week Employer Awards 2014. To ensure that you are clear about the process, please read the instructions below:

Before beginning to complete the nomination form, read the Guidance Notes and Eligibility Criteria.
The nominator will be asked to complete Parts 1, 2, 3 and 5, and the learner will be asked to complete Parts 4 and 5. Providing this information will help us to gain a fuller picture of the learning undertaken.
The nominator's section must be completed first. Once the nominator's form is submitted, an e-mail will be sent to the learner (to the e-mail address provided in Part 4). In the email the learner will receive a unique link for them to access their sections of the form, if this isn't received within 2 hours please contact the Adult Learners' Week Team
If you are unable to complete the form in one go, the 'Save & Continue' button will allow you to come back to the form at a later time, please ensure that you save your work regularly as you complete each section. (Please note that 'Save and Continue' will only work once a section is complete.)
When you click on the 'Save & Continue' button for the first time, an email will be sent to you with a link to your nomination. Please keep this email safe so you can access your nomination at any time. If you do not receive a link to the nomination form please contact the Adult Learners' Week Team.
Only the information contained in the form can be used when considering the nomination. Please do not send any additional support information/materials.
Make sure that all sections are complete and information is accurate before you submit the form. Once the nomination has been submitted, no further changes can be made

Please enter your email address. This will be used to send you confirmation of your submission, as well as the link to return to this page if you choose to save it and return later.

Email Address:*

To start the nomination, please enter your email address below. If you click Save and Continue at this point, you will receive an email with a link to this form so that you can complete it in sections. Please ensure that you enter a correct email address

This field is required and must be a proper email address.
Confirm Email Address (re-type):*

Please re-type your email address. This answer is compulsory.

This field is required and must match the one above exactly.
Tip: You can use the "Save & Continue" buttons to save your progress as you go and continue at a later date. Please note that you will need to complete a section in full before you save and continue.

A: The nominator

Are you an employee of the employer/organisation you are nominating?** Yes, I am an employee of the employer/organisation I am nominating
No, I am not an employee of the employer/organisation I am nominating Please select.

Please let us know your relationship to the employer/organisation you are nominating:**

Your details

Please ensure that the address you provide is your work address (at the employer/organisation you are nominating).

First Name:*

Please enter the first name (how they wish to be known) of a contact person at the employer/organisation. This answer is compulsory.

This field is required.
Surname:*

Please enter the surname of a contact person at the employer/organisation. This answer is compulsory.

This field is required.
Job Title:*

Please enter the contact's job title. This answer is compulsory.

This field is required.
Organisation:*

Please enter the contact's organisation. This answer is compulsory.

This field is required.

House number /name:

Please enter the contact's house number/name and street name. This is only used by the "Find Address" button.

This field is required.
Postcode:*

Please enter the contact's postcode. This answer is compulsory

This field is required. Find Address

House number / Street name:*

Please enter the contact's house number/name and street name. This answer is compulsory.

This field is required.
Address 2:

Please enter the second line of the contact's address if known.
Town/City:*

Please enter the contact's town/city. This answer is compulsory.

This field is required.
County:

Please enter the contact's county. This answer is compulsory.

Main contact telephone/text number:*

Please enter the contact's main contact telephone/text number. This answer is compulsory

This field is required.
Alternative contact number:

Please enter an alternative telephone/text number for the contact. This answer is compulsory

Tip: you can use the "Save & Continue" buttons to save your progress as you go.

B: The employer / organisation

Please complete the details of the employer/organisation you are nominating below, writing the name as it should appear on the certificate

Employer / Organisation name:*

Please enter the name of the Employer/Organisation. This answer is compulsory.

This field is required.

If you have entered a British Forces Post Office (BFPO) address, please state where in England the learners are based:

Please enter the learners base in England if the address given above is a BFPO address.

Is the employer national or locally based?* Please tick one.

National employer

Locally based employer

In which region is the employer based?

East Midlands

East of England

London

North East

North West

South East

South West

West Midlands

Yorkshire and The Humber

C: Statements

Please tell us about the workplace learning provided by your organisation or the employer you are nominating. *
In the statement, please include:
- The learning, training and development opportunities provided and the structure/nature of learning offered by the employer (please provide details of the overall approach to workforce development).
- The contribution the learning has made to the employer's business, including to the working environment and to other colleagues (please provide any evidence).
- The business impact of learning and the progression of learners involved.
- Details about the balance of learning that takes place in the workplace and externally.
- Details of any innovation related to the employer's provision.
Maximum of 5000 characters including spaces (approximately 800 words). Please do not use bullet points.

This answer is compulsory. Tip: to count your characters as you go along, use a word processing package to type up your answer and then copy and paste it into this box. Please do not use bullet points.

This field is required and must be no more than 3,000 characters. If you go over the limit, the statement will not be saved in full.
How do you or the employer monitor and evaluate the success of the learning provided and what are you or the employer doing to sustain and further develop the learning provision?* Maximum of 3000 characters including spaces (approximately 500 words). Please do not use bullet points.

This answer is compulsory. Tip: to count your characters as you go along, use a word processing package to type up your answer and then copy and paste it into this box. Please do not use bullet points.

This field is required and must be no more than 3,000 characters. If you go over the limit, the statement will not be saved in full.

D: About the learning

Please provide the number of learners the employer has engaged with in the past three years: (if none, enter "0")

2011 (if applicable)?*

2012?*

2013?*

Does the learning lead to a qualification? Yes No

Please tell us the size of the organisation or employer you are nominating:*

Micro Business (0-9 employees)

Small Business (10-49 employees)

Medium Business (50-249 employees)

Medium-Large Business (250-999 employees)

Large Business (1000+ employees)

Please identify the main business of the organisation (please tick as many as appropriate)*

Your nomination may be eligible for a range of Award categories. In order to be considered, please read the category descriptions below and select categories for your nomination.

Learning with Family or Community Award
for employers that have opened up opportunities for employees to benefit from learning with their family, or in community settings.

Learning Life Skills Award
for employers that offer learning opportunities for employees to improve their skills for personal development. Employers in this category should offer opportunities for employees to improve their skills for personal development. This could include functional skills, literacy, numeracy, ESOL, digital, civic, health and financial capability.

Learning for Work Award
for employers that provide learning at or for work, improving learners' prospects in their current role or Apprenticeship or helping them to secure a new job, business or career as a result of their learning.

Are you or your organisation a NIACE member

Yes, Individual member

Yes, Corporate member

No

Not Sure

Publicity Information

Adult Learners' Week Award Winners often generate local, regional and sometimes national press and media interest. If the nominated employer is selected for an award, NIACE (coordinators of Adult Learners' Week) would like to liaise with the winning organisation's press / marketing manager to publicise winners. Please provide the relevant contact details below:

Publicity Contact

First Name:*

Please enter the first name of your organisation's manager responsible for press/marketing. This answer is compulsory.

This field is required.
Surname:*

Please enter the surname of your organisation's manager responsible for press/marketing. This answer is compulsory.

This field is required.
Job Title:*

Please enter their job title. This answer is compulsory.

This field is required.
Main contact tel./text number:*

Please enter their daytime telephone number. This answer is compulsory.

This field is required.
Alternative contact number:

Please enter their alternative contact number. This answer is not compulsory.
Email Address:*

Please enter their email address. This answer is compulsory.

This field is required and must be a proper email address.
Confirm Email Address (re-type):*

Please re-type their email address. This answer is compulsory.

This field is required and must match the one above exactly.

Chief Executive

We would like to invite the Chief Executive or a senior member of staff representing winning employers to attend our awards ceremony. Please provide the relevant contact details below:

First Name:*

Please enter the first name of your Chief Executive (or equivalent). This answer is compulsory.

This field is required.
Surname:*

Please enter the surname of your Chief Executive (or equivalent). This answer is compulsory.

This field is required.
Job Title:*

Please enter the job title of your Chief Executive (or equivalent). This answer is compulsory.

This field is required.

Building number/name:

Please enter the Chief Executive's building number/name. This is only used by the "Find Address" button.

This field is required.
Postcode:*

Please enter the postcode. This answer is compulsory.

This field is required. Find Address

Address:*

Please enter the first line of the Chief Executive's address. This answer is compulsory.

This field is required.
Address Line 2:

Please enter the second line of the Chief Executive's address if known/available.
Town:*

Please enter the Town. This answer is compulsory.

This field is required.
County:

Please enter the county of the Chief Executive's address if known.

Main contact tel./text number:

Please enter the Chief Executive's daytime telephone number. This answer is not compulsory.
Email Address:*

Please enter the Chief Executive's email address. This field is required.
Confirm Email Address (re-type):*

Please re-type the Chief Executive's email address. This field is required.

NIACE celebrates learners' achievements within employers/organisations. Please tell us how to contact a learner who would like to tell us about their learning experience with the employer/organisation

This section of the nomination will help us to gain a fuller picture of the impact of the learning.

Learner's Contact Details

First name: *

Learner's First Name.
Surname: *

Learner's Surname/Family name.
Main contact tel./text number: *

Learner's main phone or text number.
Email address of the learner: *

We need the learner's email address to send them Part 3 of the nomination form to complete.
Confirm email address: *

Re-type

When the form has been submitted, an email will be sent to the learner (using the email address that you have specified above) with a unique link for them to access the optional learner's sections of the form.

Private information and publicity

As we use the information that has been supplied in this form to motivate other employers, we want the employer and the learner to be completely happy with what has been written.

Award winners often attract interest from local, regional and sometimes national press and media. For winning organisations this may include: having a profile written about the organisation, having a photograph taken for inclusion in the profile books and other publicity materials, being filmed for a video about the organisation and/or being interviewed by the media for publicity. National and regional winners will also be invited to attend an awards ceremony where they will be presented with their award, invited to speak very briefly about their learning journey and may also be photographed

Please read this form very carefully and if there is anything at all that you do not wish to be made public, please let us know in the box below. Please also indicate if the employer or any of the learners do not wish to have a photograph taken or video made.

Maximum of 2000 characters (including spaces), aproximately 250 words. This answer is not compulsory. Tip: to count your characters as you go along, use a word processing package to type up your answer and then copy and paste it into this box.

By submitting this form and ticking the box below, you confirm that:

I give my consent to NIACE (coordinators of Adult Learners' Week) to use the information in this form.
The information supplied in this form is correct to the best of my knowledge and that the statements are true and accurate.
I wish the employer to be nominated for an Adult Learners' Week Award.
The Chief Executive (or equivalent) and publicity contact have given permission to pass on their contact details.
The learner's permission has been sought to include their contact details in the nomination.

I confirm that the above declaration is true

The Adult Learners' Week Awards follow NIACE's Equal Opportunities and Data Protection policies. For further information please visit www.niace.org.uk

We aim to notify all winners and the employer by the end of May 2014. If you haven't heard anything from us by this time please assume that your nominee has not been chosen as an Award Winner on this occasion. Everyone nominated for an award will receive a Certificate of Achievement.

I would like to be kept informed of NIACE activities.

Have you completed all relevant sections?

Please ensure that all parts of the nomination form are complete and that information provided is correct as changes can NOT be made to this form once you have submitted it. If you are happy with the nomination please click on the submit button below.

The deadline for receipt of applications is 5pm, Thursday 30 January 2014

Adult Learners' Week - 2014