Prices in effect until December 2009



International Society for

Augmentative and Alternative Communication

ISAAC-Australia Inc.

The Australian Chapter of ISAAC

Awards Nomination Form

To be submitted by March 31st 2017

In recognition of those people who are making a difference and the places that are supporting them to do so.

I would like to nominate in the following category (Please tick ONE):

|The Foundation Award – This award is for someone who has shown improvement in the use of AAC in any way at all. | |

|The Community Award – This award is for someone who actively uses AAC in the community. This contributes to advancing the use and| |

|acceptance of AAC in the community. | |

|The School/Organisation Award – This award is for a school or organization that has shown outstanding recognition and acceptance | |

|of AAC for someone who learns, works or participates there. | |

|The Information Award – This award is for work that raises awareness of AAC. It includes articles, lectures, public appearances, | |

|radio interviews or public work of art | |

Details of the person nominating (must be a member if ISAAC-Australia):

Name:

Address:

Phone number: mob:

Email:

Are you currently a paid up member of ISAAC-Australia? Yes No

Details of the person being nominated:

Name:

Address:

Phone number: mob:

Email:

|Criteria for judging the awards |

| |

|The judgement is made on 2 criteria: |

| |

|(i) How has the use of AAC had a positive effect for the person? |

| |

|(ii) How has the use of AAC as you describe it helped to advance AAC in the person’s community, state or country? |

Please describe why you feel the person or place you have nominated deserves to receive an award. This should be ½-1 page and you may also submit a photo. If you submit a photo, you must also submit the signed consent form from the person to use the photo in ISAAC publications recognising the person’s achievement.

All nominations must be in by March 31st 2017

Send to the secretary of ISAAC Australia by email: Isaacaustralia@

or

By mail: Andrea McQueen

4/65 Pearson St

West Brunswick

VIC 3055

|The awards will be made at the AGOSCI conference. |

|The winners will be announced even if they are not present. |

Signed: The ISAAC-Australia Executive Committee

PHOTOGRAPHIC CONSENT FORM

I hereby consent to the reproduction of photographic images of ____________________________________by ISAAC - Australia for the following purposes as indicated, with no time limit on use of the photo.

|Photographic Images |YES |

|DISPLAYS | |

|ADVERTISING | |

|BROCHURES | |

|POSTERS | |

|NEWSLETTERS | |

|MAGAZINES | |

|MEDIA | |

|ANNUAL REPORT | |

|WEBSITE | |

|ALL OF THE ABOVE | |

Name of person photographed (if over 18 years): __________________________________________

OR

Name of Parent/Guardian: ___________________________________________________

Address: __________________________________________________________________

________________________________________Postcode:___________________________

Telephone No: _________________________ Mobile: _____________________________

Signed: ___________________________________ Date: __________________________

(Client/Parent/Guardian/Staff)

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download