Instructions for Story Tellers

1. Please complete all sections of the following template.
2. Your total word count for the entire 'story' should not exceed 750 words - to enable it to be printed out on less than 2 x A4 pages.
3. Fields marked as required are essential and need to be completed.

* Title of Story: 

  *Required

* Activity Area: [Please indicate which of the three areas best reflects the subject of your story]  *Required

Workforce Development  (e.g. in-house training, course development, professional supervision systems)
Resource Allocation  (e.g. establishment of 'copmi' positions, increasing availability of information for consumers, 'family friendly')
Organisational Development  (e.g. policies and plans, information systems)

* Key Words:[Please list maximum of 5 key words that reflect the content of this story]  *Required 

Details of Story Teller: [The name of the person/s who wrote and submitted the story.] 

* First Name:  
* Last Name:    *Required

* Organisation:    *Required

*Address:    *Required

* Suburb:    *Required

* Postcode:    *Required

Email: 

Website: 

Phone: 

What is your story about?: [A very brief sentence about your story.] 

Year this work began and how long it took. [Dates of commencement and completion] 

* Commencement Date:  *Required

Please select Not Specified January February March April May June July August September October November December Please select Not Specified 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

* Where was this work done?   *Required

> Select a location Across Australia Across a State Territory In a metropolitan region In a rural regional area In a remote area In a mix of regions areas

* What were you trying to do?:[Pick the one that most accurately describes your work]   *Required

Change processes or policy
Change the environment
Increase awareness/skills/knowledge
Reorient services/teams
Strengthen consumer/carer participation
Strengthen interagency collaboration

Who we were targetting: [Target group the project was predominantly aimed at eg young carers, an adult mental health service, workers in a particular service.] 

Who was involved. [Whom did you involve in the work, i.e. partnerships formed, who helped plan, implement and evaluate your work?]

What we did. [Provide details of how you implemented your work.]

What we found. [What changed or didn't change?]

What worked well. [What were you happy with and felt was a good result from your work?]

What didn't work so well. [What did not work as well as you thought it might, what challenges did you face? lesson's learned to pass on to others]

What others can learn from our work. [Did you learn something from this experience that you can share with others?]

What type of evaluation did you use? [Describe how you evaluated what you did]

Where to from here? [What is going to happen as a result of your work]

People to acknowledge/thank. [The names of people you want to acknowledge who were part of this work.]

* Please indicate if you are happy to have your details included with your story on the AICAFMHA website.  *Required

*As an anti-spam measure, please type the word "submit" in the field below:
 *Required