Branch award: Nomination

Nomination for Branch Award

The form below may be completed online if you wish to nominate an individual for a New Zealand Branch Award. The form will be emailed to the Branch Secretary and yourself for consideration at the next scheduled meeting of the Branch Management Committee.

Alternatively, the form may be downloaded and completed offline by clicking

    I would like to nominate
    Name

    Address

    Post code

    Is the nominee a member of NZ Branch?
    YesNoNot sure
    Person submitting the nomination

    Name

    Address

    Post code

    Email

    Phone (optional)


    How do you know the nominee and in what capacity are you making this nomination?

    Profile of the nominee

    What positions has the nominee held?




    What other achievements of benefit to the Branch would you like to be considered?




    Why should the nominee receive a Branch award?
    Please attach a document of no longer than 300 words
    Note that this will form the basis of the Branch Award citation, should your nominee be approved
    Valid file types are: doc(x), pdf, txt

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