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Please read the Awards' Guidance Notes before completing this form

Download an easy-to-follow, step-by-step guide on how to complete this online form

Click on a section heading to open that section. You must answer Parts 1,2,4 & 5. Part 3 is completed by the learner you are nominating.

Fields marked * cannot be left blank. You can only move between sections once all the required fields have been completed.

Pressing ENTER will submit the form (use the TAB key to jump between fields).

Adult Learners' Week 2012 Awards

Outstanding Individual Learner

Closing Date: 27 January 2012


Part 1: Contact Details
Nominator Email

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.

  • Tip: You can use the "Save & Continue" buttons to save your progress as you go.
A: The learner

Please note that the information contained in this form may be used for publicity purposes. As a result if you feel your learner may prefer that certain information about their personal life is not made public, you may decide it is better not to include it.

Please write the name of the learner EXACTLY as you would like it to appear on the certificate.

  • Tip: You can use the "Save & Continue" buttons to save your progress as you go.
B: The nominator

What is your relationship to the learner you are nominating?

Type of organisation you represent*

Please tick at least one and as many as you feel appropriately describe your organisation





Are you or your organisation a NIACE member

C: Publicity Information

Adult Learners' Week Award Winners can generate local, regional and sometimes national press and media interest. If your nominee is selected for an award NIACE would like to liaise with your organisation's press/marketing department around the publicity of winners so please provide contact details below.

We would like to invite the Chief Executive Officer (CEO) of winning organisations to attend an awards ceremony. Please give details of your CEO (or equivalent) below.

Where did you hear about the Adult Learners' Week Awards?

Part 2: Nomination Details

Please note that Adult Learnsers' Week Awards recognise all forms of learning; the qualification questions below are for information only

  •    

If yes, who awarded them? (select all that apply)

Part 3: Learner's Journey

This part is completed by the learner. When you submit this form, the learner you have specified in Part 1.A will be sent an email containing a link to another form which they must then complete in order for their nomination to be considered.

Please continue with your nomination by completing Parts 4 and 5 below.

Part 4: Special Awards

Your nomination may be eligible for a special award.

European Social Fund

If your nominee's learning has been funded in any way by the European Social Fund (ESF) please complete this section to also be considered for this category.

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If Yes, please tell us the:

  • From:   To:

    Please use the date pickers () to select a date or enter in the format (dd/mm/yyyy)

Is the project ESF co-financed through a Co-financing Organisation (CFO)?

If YES, please answer the following two questions

If NO

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.

Would your learner be eligible for the following Awards?







Part 5: Declaration

Adult Learners' Week uses the inspirational stories of learners to motivate thousands more to learn.

By submitting this form, you confirm that:

  1. You give us your consent  to use the information in this form.
  2. The information supplied by you is correct to the best of your knowledge and that the statements are true and accurate.

Equal Opportunities Statement

NIACE is committed to equality of opportunity both as an employer and as an Institute concerned with adult learning. In implementing this commitment NIACE aims to ensure that no-one receives less favourable treatment on the grounds of gender, disability and/or learning difficulty, age, race colour, nationality, ethnic background or national origin, economic or marital status, sexuality, political or religious beliefs, language or culture. NIACE reserves the right to add further categories to these groups.

Data Protection statement

The National Institute of Adult Continuing Education (NIACE) is registered under the Data Protection Act 1998 (Registration Number Z7412510). Personal information supplied to NIACE may be stored securely and used in relation to NIACE's work. Full details of the purposes for which NIACE processes personal information is in our Data Protection Register entry, which can be found on the Information Commissioner's website www.ico.gov.uk . At no time will we divulge personal information to other organisations without your express consent.




Have you completed all relevant sections?

The deadline for receipt of applications is 5pm FRIDAY 27 January 2012.

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