CWEA Nomination Form

Collection Systems Committee
Gimmicks & Gadgets Entry Application

Date of Entry:

Name of Nominee or Nominees:

If group application, name of contact person:

CWEA Membership #:

Name of Agency:

Agency Address:

Phone Number:

Email address:

Name of Gimmick or Gadget:

Description of your Gimmick or Gadget (this information will be kept confidential):

What does this Gimmick or Gadget accomplish?

Estimated time saved per year:

Estimated dollars saved per year:

— GUIDELINES —

·  You must be a CWEA member to submit an application.

·  Gimmick or Gadget cannot be a commercially available product.

·  All award winners will be notified prior to CWEA Annual Conference.

·  Awards will be given out during the Collections breakfast at the CWEA Annual

Conference.

NOTE: Please review the Gimmicks and Gadgets Requirements and Criteria Sheet, prior to submitting your application. Entry application form must be submitted no later than FRIDAY, January 13, 2017 to the CWEA via the online application: https://cwea.wufoo.com/forms/cwea-2016-awards-application/.

Questions about the application criteria:

Call Lenny Rather, Collections Systems Committee Awards Chair at 510-276-4700 or .

ENTRY REQUIREMENTS:

1.  Digital photos of the gimmick or gadget must be submitted as a PDF with original application.

2.  Commercially available products are not eligible as gadgets, but a unique use of a

commercial product may be entered as a gimmick.

3.  Winners cannot be a member of the selection committee.

4.  Selection process is based on entry application and supporting documents such

as digital photos, drawings, blueprints, etc. No videotapes allowed with application.

PRIZES:

In addition to the Award, Certificates, and all the great publicity for the winners and associated agencies, 3 Awards will be given as follows:

1st Place $500.00

2nd Place $300.00

3rd Place $200.00

CS_G&G_form

CWEA Nomination Form

Collection Systems Committee
Gimmicks & Gadgets Entry Application

Rating Criteria For Judging Nominees

Name of Gimmick or Gadget

CRITERIA / POSSIBLE POINTS / ACTUAL POINTS
Safety: / 20
Design: / 20
Time Savings: / 15
Dollars Savings: / 10
New Tool Accomplishments: / 20
Completed application: / 15
_____ / _____
Overall Score: / 100

Comments:

Rater: Date:

CS_Gimmicks&Gadgets_form&judging