Nominators Details
Your details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Organisation (if applicable)
Role within the organisation (if applicable)
Nominee Details
The person you are nominating
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
District the nominee volunteers in:
*
Far North
Kaipara
Whangarei
Across multiple districts
District the nominee lives in:
*
Far North
Kaipara
Whangarei
How long has the person been volunteering?
Less than 5 years
5 to 10 years
Over 10 years
Other
Group/Organisation/Club/Sport the person is involved with:
*
How long has the person been involved in their role/s? (This could be over a number of roles - Example 1: Started as a coach in 2010, got involved as team manager from 2012-2015, was a committee member from 2017 – 2021)
*
Tell us why this person deserves this award?
*
Any other relevant and helpful information about the person that helps build a picture of why they deserve to be recognised (testimonies, articles, videos etc are all welcome to support the nomination)
Please provide a photo of the nominee that could be used for recognition purposes (online awards profile, media etc.). The higher quality the photo the better.
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