Application Form

Nomination category:

Individual Community Business Government

Name of person or organisation nominated: Click here to enter text.

Title of climate adaptation project or initiative: Click here to enter text.

1.  Contact person making this application

Name: Click here to enter text.

Organisation: Click here to enter text.

Email: Click here to enter text.

Phone: Click here to enter text.

2.  Contact person or organisation nominated (if different from above)

Name: Click here to enter text.

Organisation: Click here to enter text.

Email: Click here to enter text.

Phone: Click here to enter text.

Entrants must address at least one of these five main topics in their submission:

A.  Adaptation for prosperity

In a shop or on the farm, from your location to your services, what do you do differently in business to account for a changing climate?

B.  Communicating for climate adaptation

What have you done to connect people with the knowledge they need to understand adaptation and find solutions for climate challenges?

C.  Assisting the natural environment

How do you make habitats more climate resilient or care for wildlife that will be affected by climate change?

D.  Climate adapted city life

What are you doing in the city to help prepare for climate impacts such as more extremely hot days or strains on the water supply?

E.  Resilient Communities

How do you engage with others to bring awareness of climate change impacts into plans and practices that can benefit your community or social group?

3.  Provide a summary of the nominated activity or project (max. 300 words).

4.  Describe how the individual or organisation has shown innovation and leadership in adapting to climate change, relating to at least one of the five main topics (max. 300 words).

5.  Describe how the project or initiative can be applied more widely to adapt to climate change in Australia (max. 200 words)?

6.  Additional information supporting this application (links to web addresses that support your application and/or list of other documentation submitted as attachments).