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CAPAM APPLICATION

Application Form

If you have any questions about the application process, please email capam@capam.org.

In which category should your innovation be considered?

Innovations in Public Service Management

Innovations in Government Services and Programmes

Innovations in Citizen Engagement and Dialogue

Innovations Use of Technology in the Public Service

Contact Information

Name of Project

Name of Organisation

Contact Person

Title

Address

City

State/Province

Country

Telephone (with country code)

Fax

E-mail

CAPAM Membership

Are you a CAPAM Member?

Yes No

Individual membership (eligible for 1 submission only, individual must be main contact)

Institutional membership (eligible for multiple submissions, multple contacts allowed)

If you are not currently a CAPAM member (or have not remitted fees for 2011), please visit http://www.capam.org/membership to renew your membership or join as a member.

Applications are accepted by CAPAM members only.

Eligibility

Does your submission reflect an organisational (rather than an individual) achievement?
Yes No
Is your program or initiative currently in active operation?
Yes No
If you represent a non-profit or private sector organisation, can you demonstrate sufficient government oversight in your programme or initiative?
Yes No

If you have answered “No” to any of the above questions, please kindly reconsider your application or contact capam@capam.org if you have any further questions.

Method of Payment

The cost of submission is $150.00 USD

Online payment (Visa/Master Card)

International Money Order

Electronic Funds Transfer (Details from CAPAM on request.)

Name on Credit Card

Credit Card Number

Expiry Date (month/year)

Method for submission

Online Submission(preferred)

Submit via email to capam@capam.org

Mail ($25 USD handling fee applies)

Please upload your document.

Submissions must be received at the CAPAM office by March 31, 2012.
CAPAM: International Innovation Awards
L’Esplanade Laurier
300 Laurier Avenue West
West Tower, Room A-1245
Ottawa, ON Canada K1A 0M7

Your Submission Checklist

Complete online application form above

A 50 - word executive summary of the submission

A 100 – word statement on appropriateness to context

A 1500 word description of the project

Please note that additional information outside of the Project Description and Executive Summary will not be forwarded to the judges for consideration.
CAPAM reserves the right to reproduce, without limitation, any materials submitted with this application, including the Project Description and any attachments, for distribution through CAPAM communications with members or other general distribution (print and electronic).

I agree with the terms

I , have the authority to provide consent.

Date: 5/17/2012

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