YOUNG ENVIRONMENTALIST AWARDS (YEA) 2017
SUBMISSION FORM
Registration Number (provided on your registration confirmation email):
_________________________
YEA 2017 TIMELINE
1) Project Submission Deadline: 24 Feb 2017
2) ECO-Den Semi-final Judging Round:
 Munster: 15 Mar 2017
 Connaught: 21 Mar 2017
 Ulster: 23 Mar 2017
 Leinster: 28-30 Mar 2017
3) Final Showcase & Awards Ceremony: 23 May 2017 (TBC)
CHECKLIST BEFORE SUBMISSION
Prior to submitting your project, please make sure that you have all required documents
and information ready.
[ ] Project Submission Form
[ ] Guardian Consent Form
[ ] Participants List
[ ] Project Summary
[ ] Teacher/Youth Leader Evaluation Sheet
[ ] Young Person Evaluation Sheet (every team member)
[ ] Any Visual Record of Your Work
WHAT TO SUBMIT
1. Project Submission Form
This submission form must be fully completed. Please include details of the information
you gathered, all of the actions your team took and your learning outcomes. In the
form, the following must be filled out:
 Guardian Consent Form
The signature of a teacher/youth leader/parent/guardian is required for young
people under 18 years of age.
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie



Participants List
Please ensure all names are spelt correctly as these names will be used on
certificates and publications.
Project Summary
We will use this in any future publicity material including the website and the
People’s Choice Award.
Teacher/Youth Leader Evaluation Sheet
Information contained in this sheet will be considered in the judging process.
2. Young Person Evaluation Sheet (*attached separately)
Please note every team member needs to complete this sheet. Information contained
in this sheet will be considered in the judging process.
3. Any Visual Record of Your Work
You should show evidence of team work, research, action and engagement at all 6
steps of the project. Please submit any visual record of the work your team has done for
your project along with the relevant evidence of the action such as scrapbook,
PowerPoint presentation, photos, videos, song, website, etc. Be as creative as you like!
HOW TO SUBMIT

By 5pm on 24 Feb 2017, your 1) project submission form 2) young person evaluation
sheets and 3) any visual record of your work must be posted to:
C/O YEA Coordinator
ECO-UNESCO
9 Burgh Quay
Dublin 2

All your submission materials must be labelled with your registration number.

Project Submission Form: Please type your answers to each question in the boxes
provided on the submission form and expand the boxes to accommodate your
answers. Once completed, please print it for submission.

Young Person Evaluation Sheet (*attached separately)
Please note every team member needs to complete this sheet so you will need to
print out these two pages (print on both sides) give one copy to each team member
to fill out.
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie

A Visual Record of Your Work:
 Any 3D pieces, large posters, art/fashion pieces should be photographed and
only the photos of these pieces (or links where they are uploaded) need to be
submitted.
 For any photos, videos, news articles and social media campaigns, please use
a media sharing site such as Google Drive, Flickr and YouTube and include
the links on your submission form.

Note: Once submitted, projects cannot be returned to entrants. Groups are advised
to keep copies of all project materials for their presentation at the ECO-Dens and the
Showcase and Awards Ceremony. Also, ECO-UNESCO takes no responsibility for
items lost or damaged in the post. We recommend that you send by registered post
(as you can track the status) or that you hand-deliver to our office if convenient.
Make at least one copy of all project items to safeguard against all eventualities.
Proof of postage is not proof of receipt. The YEA Terms & Conditions can be found at
http://www.ecounesco.ie/forms-resources for more information.

Contact: If you have any questions, please contact Ji, YEA Coordinator at
[email protected] or +353 (0)1 662 5491.
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
GUARDIAN CONSENT FORM
The signature of a parent or guardian is required for young people under 18 years of
age. If participating as part of a group/school/youth organisation, by signing here the
teacher/youth leader is confirming that they have obtained parental permission and are
acting as a guardian. You do not need to send us individual consent forms for each
young person.
Data Protection and Privacy
We will not share the entrant details with any third party. These details will be
maintained within our participant files and we may contact you in the future about
other ECO-UNESCO services. All participants are signed up to our monthly e-bulletin
newsletter. You may unsubscribe at any time.
Policy on the Use of Photographs and Video
ECO-UNESCO may use any photographs, videos, sound, written or other materials as we
see fit and without restriction.
Medical Assistance
By signing this form, you are authorising ECO-UNESCO to undertake appropriate first aid
assistance in case of injury, accident or medical emergency.
The YEA Terms & Conditions can be found at http://ecounesco.ie/forms-resources.
I, ________________________, teacher/youth leader/guardian/parent of this YEA project
team hereby consent that this team is given full permission to participate in the Young
Environmentalist Awards and in any activities associated with the YEA programme.
Signed: ____________________
Date: ____________________
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
PROJECT DETAILS
Please provide your FINAL project details below.
Registration Number
School/Youth Organisation Name
County & Province (e.g. Co. Kerry, Munster)
Project Title
Age Category
(ECO-UNESCO usually considers the majority
group age.)
Award Category
(ECO-UNESCO reserves the right to change a
group into a category deemed suitable by the
organisers. Organisers reserve the right not to
award a category at their own discretion and
without recourse to the entrants of said
category.)
Senior (16-18) [ ]
Junior (12-15) [ ]
Super Junior (10-12) [ ]
Biodiversity [ ]
Climate Change [ ]
Energy [ ]
Water [ ]
Transport [ ]
Waste [ ]
Eco-Community Development [ ]
Eco-Art & Design [ ]
Eco-Health & Wellbeing [ ]
Eco-Enterprise [ ]
*Local to Global [ ] – If your project shows
exemplary commitment to raising awareness of global
justice and sustainability issues, you can enter the same
project into this category additionally.
Teacher or Youth Leader Name
Teacher or Youth Leader
Email Address
(Please provide an email address you check
regularly. We'll send you important email
notifications to help manage your YEA project.)
Teacher or Youth Leader
Mobile Phone No.
(This is for urgent and important notifications.)
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
PARTICIPANTS LIST
Please ensure all names of group members are spelt correctly as these names will be
used on certificates and in publicity materials.
No.
1
2
First Name
Last Name
Age
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
Gender
PROJECT SUMMARY
Briefly describe your project and what it has achieved (max. 150 words, expand box as
appropriate).
We will use this in any future publicity material including the website and the People’s
Choice Award so make sure you tell us how great your project is! Please take a look at
the YEA 2016 Finalist Booklet for your reference – Available at
http://ecounesco.ie/forms-resources.
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
STEP 1: GET A TEAM TOGETHER
1.1. How did you get your team together?
1.2. What team building exercises did you do?
1.3. Please list any evidence of how your team planned to work together and develop
skills you are submitting - E.g. A copy of team meeting worksheet, team contract and
team skills analysis (physical materials in the post and/or online links).
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
STEP 2: SELECT AN ENVIRONMENTAL ISSUE
2.1. What environmental issue did you choose and why?
2.2. What are the causes of this issue?
What do humans do to cause this issue locally and globally? Why do humans cause this
issue? Tell us research findings demonstrating your understanding of the issue.
2.3. What are the impacts of this issue?
What will happen to the environment and people locally and globally if this issue
continues? Tell us research findings demonstrating your understanding of the issue.
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
2.4. How did you gather information on this issue?
List of your sources used for research (e.g. journals, books, magazines, websites, surveys,
audits, interviews, guest speakers, etc.).
2.5. Please list any evidence of how your team selected an environmental issue you are
submitting - E.g. research worksheets, evidence of brainstorming, invitation letter to a
guest speaker (physical materials in the post and/or online links).
STEP 3: DEVELOP AN ACTION PLAN
3.1. What is your project about?
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
3.2. What are the aims and objectives of your project?
What did you want to achieve for yourselves, your community and the environment?
3.3. What actions did you plan to carry out to meet your aims and objectives?
How were you going to meet your aims and objectives you wish to achieve?
3.4. Who was responsible for what tasks?
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
3.5. What were the timeline/key deadlines for carrying out your project?
3.6. Please list any evidence of project planning you are submitting - E.g. planning
worksheet, task lists, and project timeline (physical materials in the post and/or online
links).
STEP 4: TAKE ACTION
4.1. What actions did you actually take?
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
4.2. What did your project achieve?
Did your actions meet the project aims and objectives?
4.3. How did your project have a positive impact on your local community and the
environment?
4.4. What obstacles did your team face and how did you overcome them?
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
STEP 5: RECORD YOUR PROJECT
5.1. List any visual record of the work your team has done throughout the year and
additional materials other than the submission form that you are submitting – E.g.
scrapbook, videos, photos, website, art, social media campaign etc. (physical materials
in the post and/or online links).
STEP 6: RAISE AWARENESS
6.1. How did you raise awareness about your project?
6.2. What digital/social media did you use?
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
6.3. Please list any evidence of awareness-raising activities and materials you are
submitting - E.g. photos of awareness raising days/activities, posters, leaflets, newspaper
clippings, social media campaigns and websites (physical materials in the post and/or
online links).
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
TEACHER/YOUTH LEADER EVALUATION SHEET
Think about what your students/young people already knew and what they have
learned during the Young Environmentalist Awards action project. Then evaluate their
skills, development and confidence in each of the following topic areas Before and
After:
1 = No understanding or skills
3 = Some understanding or skills
5 = A lot of understanding or skills
Assessment of
Understanding, Knowledge
and Skills
Related to Your Group
Before Action Project
After Action Project
1
2
3
4
5
Ability to
investigate/research issues
1
2
3
4
5
1
2
3
4
5
Ability to relate research to
action
1
2
3
4
5
1
2
3
4
5
Environmental awareness
and responsibility
1
2
3
4
5
1
2
3
4
5
Level of initiative shown
1
2
3
4
5
1
2
3
4
5
Critical thinking & problemsolving skills
1
2
3
4
5
1
2
3
4
5
Public speaking &
communication skills
1
2
3
4
5
1
2
3
4
5
Teamwork & interpersonal
skills
1
2
3
4
5
1
2
3
4
5
Confidence & self-esteem
1
2
3
4
5
Please outline how your team developed personally over the life of the project.
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie
Were their aims and objectives fulfilled?
Please give examples of personal environmental actions/behaviour of your team
members on issues outside of their project area.
Please outline how useful undertaking this project was, how easy or difficult you found it,
where difficulties arose, and where you required additional support.
Would you recommend others to take part in the Young Environmentalist Awards? If yes,
why? If no, please suggest how it can be improved.
THANK YOU!
Note: Please remember that each team member need to fill out the ‘Young Person
Evaluation Sheet’ attached separately to this email.
ECO-UNESCO | 9 Burgh Quay, Dublin 2
+353 (0)1 662 5491| [email protected] | www.ecounesco.ie