Te Whainga I Te Tika Award : Application form for individuals
Name
First Name
Last Name
Email
example@example.com
Waipapa Taumata Rau - University of Auckland ID number
What is the social justice project you have been involved in? Please describe the project in no more than 250 words
What has been the extent of your contribution to the social justice project (eg what role have you taken in the project, have you taken a leadership role in relationship to the project and what specific contributions have you made) (250 words max)
What has been the impact of your work to date (250 words max)
Name, email address and phone number of Referee 1
Name, email address and phone number of Referee 2
Submit
Should be Empty: