Diversity and Inclusion Awards 2025

"*" indicates required fields

Once application information is prepared use the form fields below to submit the application.

*PLEASE NOTE you cannot save and come back to the application so make sure you have gathered the information as outlined in word format and any supporting documents (as docx or pdf) before beginning the application process.*

Fill in the fields and click the Submit button at the bottom and your application will be submitted with your supporting documents attached.

Please Select the Award to which this application applies.*

Your Contact Details for Correspondence

Surname*

Given name(s)*

Position held*

Business phone*

Business email*

Phone of nominee (for Diversity and Inclusion Champion)

Email of nominee (for Diversity and Inclusion Champion)

Gender Inclusivity Initiative Award

This award will acknowledge a particular program within one of ESF’s 15 member agencies at the corporate, branch, or unit level.

Women's Equality Initiative Award

This award will acknowledge a particular program within one of ESF’s 15 member agencies at the corporate, branch, or unit level.

Diversity and Inclusion Champion Award

This candidate will have made a significant impact to advance diversity and inclusion through demonstrated actions and initiative in their workplace, regardless of their role or rank. They should be a shining example of, and role model for, gender diversity and inclusion.

Victorian Emergency Service Agency*

Program / Initiative Title*

Candidate Given Name(s)*

Candidate Surname*

1. Please describe the problem the initiative was developed to address.*

1. Please describe behaviour and capability demonstrated by the individual as a champion for diversity and inclusion. (200 word limit)*

2. Please describe the initiative that the agency developed to address the problem, as well as its objectives. (200 word limit)*

2. Please give an example that demonstrates the impact this behaviour has on promoting diversity and inclusion. (200 word limit)*

3. Who contributed to developing the initiative? (200 word limit)*

Statements of Support

3. Please provide statements of support from two individuals who can speak to this champion’s actions. (200 words each)

3a. First Statement of Support*

3b. Second Statement of Support*

3. Who contributed to developing the initiative? (200 word limit)*

4. Please describe and provide any evidence to demonstrate how the objectives of the initiative have been met. (200 word limit)*

5. How has the initiative been promoted to staff and / or volunteers? (200 word limit)*

6. What plans are in place to sustain and continuously improve the initiative? (200 word limit)*

Statements of Support

Please provide statements of support from two individuals who have benefited from this initiative. (200 words each)

7a. First Statement of Support*

7b. Second Statement of Support*

Supporting Documents

Please provide any other supporting documents or evidence for your application.

Drop files here or

Accepted file types: docx, pdf, Max. file size: 16 MB, Max. files: 5.

Applicant Agreement*

I agree

In applying for this award, I understand the terms and conditions listed below: 1. Closing date for applications is 9 February 2. Applicants/ nominees must be employed or registered as a volunteer with a Victorian Emergency Services Foundation member agency. 3. Due diligence will be carried out in association with the judging process

Diversity and Inclusion Awards 2025