2018 COTA Active Ageing Awards

Living Longer Living Stronger Provider Nominee FormProvider Name:

Please answer each selection criteria in detail. You may use your own document to respond. Please attach documents, photos, or any other material you feel is relevant.

How does the Provider create a Seniors’ friendly ATMOSPHERE?

Can you provide an example (or examples) of how they have made their place more a better, more welcoming space for older people?

Can you describe any IMPROVEMENTS the Provider created in the past year?

Can you provide an example (or examples) of how they have expanded the size, scope or services provided in Living Longer Living Stronger? 

How has the provider demonstrated CREATIVITY in the past year?

Can you provide an example (or examples) of how they were innovative or showed new perspectives in their Living Longer Living Stronger program delivery?

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How has the Provider created CONNECTIONS with their local community or community of practice?

Can you provide an example (or examples) of links created with local community groups, people or allied service providers?

Describe any UNIQUE ACHIEVEMENTS by the Provider in the past year.

Can you provide an example (or examples) of any wins or victories experienced that demonstrate the value of the Living Longer Living Stronger program?

Nominated by :

Name:__________________________ Telephone: __________________________

Email :______________________________________________________________

Please return completed form by 5pm Wednesday, October 31 to:

Mail: Excellence AwardsCOTA (WA)PO Box 923Victoria Park WA 6979orEmail: rick@cotawa.org.auor Fax: 08 9253 0099

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