Citizens' and Youth Awards 2024 Nomination Form

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Citizens' and Youth Awards 2024 Nomination Form

Nominations close on 24 May 2024.

New Plymouth District Council Citizens' and Youth Awards recognise citizens for significant contributions to the district and/or its citizens. All nominations for an award must be submitted using this form.

A copy of the awards policy outlining the criteria for nomination can be found here.

Which award are you nominating for?

Please select one *

Citizen

Youth

Nominee details (person being nominated):

First Name *

Last Name *

Email *

Phone *

Address

Length of time in the district

Nominator (your details):

First Name *

Last Name *

Email *

Phone *

Address

Acknowledgment *

I confirm that to my knowledge, this nominee has NO criminal convictions.

Seconder:

First Name *

Last Name *

Email *

Phone *

Address

Acknowledgment *

I confirm that to my knowledge, this nominee has NO criminal convictions.

Why are you nominating this person?

A detailed and thorough answer will assist us in determining a successful awards recipient.

How has this person contributed and shown commitment to the community? *

How long has this person been contributing to the community in each area? *

Is there anything further you would like to mention?

Supporting Information

Drag-and-drop files here to upload

Your Files

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Citizens' and Youth Awards 2024 Nomination Form