ACVPA Nomination Form

Nomination form

In submitting your nomination, please refer to the information at www.aic.gov.au/acvpa2021. Advice for completing a quality nomination and other helpful documents are also available on our website.

In order to be considered for an award, please ensure that:

  • every question is answered
  • your nomination adheres to the 1,500 word limit
  • your completed nomination is submitted online.

Eligibility

Please note: Projects must have been fully operational at 1 February 2020. Projects that commenced after 1 February 2020 are not eligible for 2021 but may apply in 2022.

 

Contact person/s for the project
more items
Is this project led by a police organisation?
Has this project previously applied for an award in the ACVPA program?
Are there any additional components which have been in place for at least 12 months?
Is this a nomination for a project you are working on?
Include details on the following: 
  • How does the project work?
  • What are its long-term goals? 
  • What have the tangible outcomes been, including any unanticipated outcomes? 
  • What group or groups does this project target? 
  • Specific geographic areas or population?
  • Victims or potential victims of violence or other types of crime? 
  • Perpetrators or potential perpertrators of violence or other types of crime?
  • Other significant people?
  • What types of crime and behaviour does the project target?
Has the project been evaluated independently?
Document attachment is available at the end of the form.
For example: 

  • Is it the only project of its kind? 
  • Does it help people who are at particular risk?
  • Is it unique to your local area? 
  • How could it be adapted elsewhere?
  • Has it raised community awareness of violence and other crime issues? 

Referees

Please supply the names, addresses, contact numbers and email addresses of two referees. These should be people who are familiar with the project and who would be in a position to provide feedback on its merits. The selection board will contact referees as required.

Referee 1

Referee 2

How did you find out about the Australian Crime and Violence Prevention Awards?
Would you like to be on an emailing list so you can be notified about future Awards?

Contact details

If the nominated project is selected for an award, our communication team may want to contact you, or an appropriate representative of the project or organisation, regarding media and other promotional opportunities. Please include contact details for the most appropriate person to be contacted in this regard.

All supporting information must be submitted along with the nomination. The nomination will be evaluated based on the information provided.

The Australian Crime and Violence Prevention Awards program reserves the right to use details of award winners’ project details, summaries, photos and videos to publicise and market the Awards program. Likewise, winners who wish to publicise their awards should fully acknowledge the Australian Crime and Violence Prevention Awards program in any publicity material.

Attachments

If you wish to provide any supporting documentation, it should be submitted online wherever possible. Attachments should be kept to a reasonable size and quality.

Supporting documentation could include but is not limited to:

  • Newspaper articles
  • Posters, CDs, DVDs
  • Evaluations
  • Letters of support.

If your supporting documents exceed file size limitations and/or cannot be attached online, please post them to:

ACVPA Secretariat

2021 AWARDS

GPO Box 1936

Canberra City ACT 2601

Upload requirements

You can save a draft by clicking "Save Draft". Draft can only be saved for 3 days, if you return within 3 days you may resume where you left off.