Adult Learners' Week 2015 Awards

You are about to start an online nomination for the Adult Learners' Week Project/Provision Awards 2015. To ensure that you understand the process, please read the instructions below:

Before beginning to complete the nomination form, please read the Guidance Notes and Eligibility Criteria.
The nominator will be asked to complete Parts 1, 2, and 4, and the learner will be asked to complete Parts 3 and 4. Providing this information will help us to gain a fuller picture of the learning undertaken. All parts of the form need to be completed by the deadline, 5pm Wednesday 17 December 2014.
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 3). 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, the 'Save & Continue' function 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.

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.

Email Address:*

Please enter your email address. This will be used to send you confirmation of your submission plus the link to return to this page if you choose to save it and continue at a later date. This answer is compulsory.

This field is required and must be a correct 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 and 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 Project/Provision Contact

Please complete the project's/provision's details below, writing the title of the project or provision as it should appear on the certificate:

Project/provision title:*

Please enter the name of the project. This answer is compulsory.

This field is required.

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

Please let us know your relationship to the project/provision you are nominating.

Relationship to the project/provision: * This field is required.

Primary Contact (the nominator)

If you are from the project/provision please provide your work address.

First Name:*

Please enter the first name of a contact person at the project. This answer is compulsory.

This field is required.
Surname:*

Please enter the surname of a contact person at the project. 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 telephone/text number. This answer is compulsory

This field is required.
Alternative contact number:

Please enter the contact's alternative contact number. This answer is compulsory

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

B: Project/Provision Details

How many learners did your project/provision engage in: (if none, enter "0")

2012?*

2013?*

2014?*

Please tell us about the project/provision you are nominating and the impact it has had on the participants and those around them. *
In your statement, please include:
- Objectives of the project/provision
- Key activities related to engaging participants in learning, and numbers engaged in particular activities
- Progression routes offered to learners involved in the project/provision
- Why the project/provision is innovative
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.
What difference has the project/provision made to the learners?*
Please provide details of the number of learners that have either entered employment, participated in further training or experienced any other benefits as a result of the project/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.
How do you monitor and evaluate the impact of the project/provison and what are you doing to ensure the project/provision is sustainable?* 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.

Is the project/provision national or locally based?* Please tick one. You must select one option.
National project/provision

Locally based project/provision

In which region did the majority of the learning take place?

Northern England

Cheshire
Cumbria
Durham
East Yorkshire
Greater Manchester
Lancashire
Merseyside
North Yorkshire
Northumberland
South Yorkshire
West Yorkshire

Central England

Bedfordshire
Cambridgeshire
Derbyshire
Herefordshire
Leicestershire
Lincolnshire
Norfolk
Northamptonshire
Nottinghamshire
Rutland
Shropshire
Staffordshire
Suffolk
Warwickshire
West Midlands
Worcestershire

South West England

Cornwall
Devon
Dorset
Gloucestershire
Somerset
Wiltshire

London and South East England

Berkshire
Buckinghamshire
East Sussex
Essex
Hampshire
Hertfordshire
Isle of Wight
Kent
London
Oxfordshire
Surrey
West Sussex

Is the project/provision part of the British Armed Forces learning delivery?* Please tick one. You must select one option.
Yes, part of the British Armed Forces

No, not part of the British Armed Forces

Please state where in England the learners are based:

Please enter the learners' base in England if the learners are currently posted abroad.

Where has the learning taken place: *

For example, at college, at work, in the community, with family (please provide the name of any organisations if applicable):

Did any of the project/provision learning take place within a prison?* Please tick one. You must select one option.
Yes, learning took place within a prison

No, learning did not take place within a prison

Does your project/provision offer qualifications? * You must select one option. Yes No
Please note that Adult Learners' Week recognises all forms of learning, learners do not need to have gained a qualification.

C: Organisation Details

Organisation type of the project/provision*

Please tick as many as you feel appropriately describe your organisation

Are you, or is the project organisation, a member of NIACE

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 project/provision is selected for an award, NIACE would like to liaise with your organisation's press / marketing team to publicise winners. Please provide the relevant contact details below:

Publicity Contact

First Name:*

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

This field is required.
Surname:*

Please enter the surname of your organisation's press/marketing team. 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 telephone/text number:*

Please enter their main telephone/text 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 correct 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

The chief executive or a senior member of staff from the winning project's organisation is invited to attend one of our award ceremonies. 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.
Organisation Name:*

Please enter the name of the organisation the chief executive works for. This answer is compulsory.

This field is required.

Building number/name:

Please enter the CEO'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 CEO's address. This answer is compulsory.

This field is required.
Address Line 2:

Please enter the second line of the CEO'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 CEO's address if known.

Main contact telephone/text number:

Please enter the CEO's main telephone/text number. This answer is not compulsory.
Email Address:*

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

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

European Social Fund

If the project/provision has been funded by the European Social Fund (ESF) please complete this section to be considered for this category. If you are unsure about eligibility please look at the list of ESF projects on the ESF Website and confirm with the organisation's (ESF) project manager.

The learning undertaken was funded by the European Social Fund and I wish to nominate the project/provision for the ESF Inspiring Learning Project Award?* Yes, nominate for ESF Project Award
No, do not nominate for ESF Project Award Please select.

Please note that it is important for you to provide as much of the information requested below as possible about the ESF funding so that we can confirm eligibility for this award:

Name of learning/training provider: *

Please enter the name of the training provider.

This field is required.
Name of ESF Project: *

Please enter the name of the ESF project/learning programme.

This field is required.

Period that the project is being funded by ESF:
From: To:
Please use the date pickers () to select a date or enter in the format (dd/mm/yyyy)

If the project is ESF co-funded, please give the name of the Co-financing Organisation (CFO)

e.g. Department for Work and Pensions, Skills Funding Agency, National Offender Management Service or other

This field is required.
Name and Contact details for the CFO/ESF Manager at your organisation

The European Social Fund (ESF) part-funds Adult Learners' Week. The ESF is a European initiative that invests in jobs and skills. See www.esf.gov.uk for more information.

NIACE celebrates learners' achievements within projects/provisions. Please tell us how to contact a learner who would like to tell us about their learning journey through your project

Learner's Contact Details

First name:

Learner's First Name.
Surname:

Learner's Surname/Family name.
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 learner's sections of the form.

Private information and publicity

As we use the information that has been supplied in this form to inspire others to take up learning, we want you and those involved in your project/provision to be completely happy with what has been written on this form.

Award winners' often attract interest from local, regional and sometimes national press and media. For this award this may include having a profile written about the project/provision, having a photograph taken for inclusion in the winners' brochures and other publicity materials, being filmed for a video about the learners' learning journey and/or being interviewed by the media for publicity. We normally invite national and regional winners' to attend an awards ceremony where they will be presented with their award, invite them to tell us very briefly about their learning journey and we may also take photographs.

Please read this form very carefully and if there is anything at all that you as the nominator do not wish to be made public, please let us know in the box below. Please also indicate if you or any of the learners who take part in the project/provision do not wish to have their photograph taken or be included in a video.

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 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 project/provision 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 their nominators by the end of May 2015. If you haven't heard anything from us by this time please assume that your project/provision 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 the 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, Wednesday 17 December 2014

Adult Learners' Week - 2015