Laurie Dowling Memorial Award
2026 Nomination Form for Napier Port Hawke's Bay Primary Sector Awards, organised by the Hawke's Bay A&P Society
SECTION 1: Nominee Details
Provide details of the person you are nominating.
Full Name of Nominee
First Name
Last Name
Postal Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Current Role / Position
Organisation / Employer
SECTION 2: Nominator Details
Provide details about yourself.
Your Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Relationship to the Nominee
I confirm the nominee has given consent to be nominated.
Yes
SECTION 3: Nomination Statement
Considering the award criteria, tell us why this person should be acknowledged. Please give clear examples where possible.
Why are you nominating this person?
Considering the criteria for this award, tell us in 150–500 words why this person should be acknowledged for their contribution to agriculture in Hawke’s Bay. In your response, describe the nominee’s background and their record of contribution, service, or unrecognised work that has benefitted the agricultural sector or rural community.
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You may upload letters of support, media, project summaries, or any other material that strengthens this nomination.
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SECTION 4: Referees
Referee 1 - Full Name
First Name
Last Name
Referee 1 - Position or Organisation
Referee 1 - Phone Number
Please enter a valid phone number.
Referee 1 - Email Address
example@example.com
Referee 2 - Full Name
First Name
Last Name
Referee 2 - Position or Organisation
Referee 2 - Phone Number
Please enter a valid phone number.
Referee 2 - Email Address
example@example.com
SECTION 5: Additional Information
How did you hear about this award?
Word of Mouth
Social Media
Print or Publication
Website
Search
Other
SECTION 6: Declaration & Consent
Declaration
The information I have provided is true and correct.
The nominee has consented to being nominated.
I understand that non-winning nominee names remain confidential.
I consent to supporting material being used for agreed promotional purposes.
Signature
Date
-
Month
-
Day
Year
Date
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