10-17 November Deborah Kirwan. Media Awards. Nomination Form. Presented in partnership by:

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1 10-17 November 2013 Deborah Kirwan Media Awards 2013 Nomination Form Presented in partnership by:

2 10-17 November 2013 An initiative of: In partnership with: The late Deborah Kirwan AM Principal sponsor: Sponsored by: The Minister for Seniors and Volunteering, Hon Tony Simpson MLA and COTA WA invite nominations for: Deborah Kirwan Media Awards 2013 The Deborah Kirwan Media Awards recognise Western Australian journalists and press photographers whose portrayal of seniors and ageing has positively influenced community attitudes towards seniors, increased community awareness of the needs of seniors, or helped to build respect between the generations. These awards have been introduced in honour of the late Deborah Kirwan AM, media personality and former president of COTA WA, who worked tirelessly over many years to raise the profile of seniors issues in the media. You can nominate online at Enquiries COTA WA Level 3/110 William Street, Perth WA 6000 t: e: w: Supported by: WA Seniors Awards Coordinator Department for Communities t: e: w:

3 Categories and prizes There are three award categories: Print Evaluation criteria Any publication with Western Australian circulation, including online media. Electronic Radio and television broadcasts within Western Australia. Photography A judging panel will assess entries with consideration to the extent that they: c hallenge stereotypes/myths about ageing p ortray seniors as contributing members of the community Used in any news publication circulating in Western Australia. b uild mutual trust and respect between the generations Each category winner receives a trophy and a $600 cash prize. e ncourage the community to plan for its ageing population. The judges reserve the right not to award a specific category if, in their opinion, entries do not reflect any of these objectives. Award prize $600 cash Last year s winner 2012 Deborah Kirwan Award winner Steve Mills, Radio 6PR Steve Mills won the 2012 Deborah Kirwan Award for his interview with English teacher Dilys Bossley. Dilys, who was in her late 60 s at the time of the interview, has taught at Bullsbrook District High School since Mills portrayed her as a role model for both students and seniors and displayed admiration for Dilys and her ability to continue to teach 150 students a year with enthusiasm. When asked by Mills if she had any advice for teachers, Dilys replied, I would say enjoy, just enjoy your students. How long would she remain teaching, he asked? Well I think I ll keep going until I get old I don t know when I m going to get old.

4 Checklist Two colour head and shoulder photos of entrant, jpeg format at high resolution. Up to 200 words biography of the entrant. Supporting documentation relevant to application. Information and key dates Online applications Online applications can be made at Hand delivered and postal entries Department for Communities Gordon Stephenson House 140 William Street Perth WA 6000 Entries close 5.00pm, Monday 12 August No late entries will be accepted Judging Judging will take place mid-september Finalists will be notified by telephone in the first instance, then receive a letter confirming their selection. Unsuccessful nominees will receive a letter notifying them of the outcome. Winners Winners will be announced at the WA Seniors Awards on Sunday 10 November Conditions of Entry The applicant and their nominator must be permanent residents of Western Australia. Nominations from and on behalf of individuals and organisations residing in or operating from other States and Territories are ineligible to apply. Entry forms can be downloaded and at and printed out from the Bendigo Bank Seniors Week Festival 2013 web page. A short biography of the entrant should be included (no more than 200 words). Entries submitted must be your own work or the work of the nominee or their media outlet, must have been published or broadcast in Western Australia between 1 July 2012 and 30 June Entries in all categories are limited to three per individual. Radio and television entries should be of no more than seven minutes duration. The published articles or images, audio files or TV stories can be submitted on DVD, CD or USB thumb drive. All entries should include two colour head and shoulder photos of entrant, jpeg format at high resolution; on a CD or USB drive. If submitting multiple entries, please ensure the same titles are used on the nomination form and the supporting documentation. Photographic entries must be accompanied by a copy of the article or feature with which they were published. All entries should include a completed and signed application form. Photocopied application forms will be accepted. All entries should be lodged by post or hand delivered to the Department of Communities. Entries close 5.00pm on Monday 12 August Hand delivered entries must be submitted to Level 2, 140 William Street, Perth No late entries will be accepted. If you or the person you nominated is selected as a finalist you or they will be required to sign a nominee declaration form. The Department for Communities will contact finalists about the form.

5 Deborah Kirwan Media Awards 2013 Nomination Form You can nominate online at Section A: Applicant s Contact Details First Name Surname Address Suburb State Postcode Telephone (Home) Mobile Telephone (Work) Section B: Employer s Contact Details First Name Surname Organisation Position Address Suburb State Postcode Telephone (Home) Mobile Telephone (Work) Section C: Category nominations Nomination 1: Category Nomination 2: Category Nomination 3: Category Section D: Declaration I declare that the story/interview/photograph enclosed with this nomination form is my work or the work of this media outlet. Signature Date DfC SO97-June 2013