Award Nomination Form

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NOMINATIONS CLOSE: 31st October

For enquires or assistance with this application please contact:
MSA awards office
Te Tohu Taakaro O Aotearoa Charitable Trust
PO Box 23650, Papatoetoe 2155
Phone: 09 278 6591 / 027 901 237 / 027 212 9255

Nomination forms can be completed in one of three different formats:
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1ELECTRONIC NOMINATION

CLICK HERE to download the electronic nomination form. Fill this out, save the file as the name of the Nominee (e.g. “Buck Shelford”) and email as an attachment to Māori Sports Awards at info@maorisportsawards.co.nz

NOTE: If you are having trouble opening or viewing this document please try opening it in a different browser or save as a file first.  Please use the latest Adobe Acrobat Viewer application from here.
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OR

2POSTAL NOMINATION

CLICK HERE Download the Electronic Nomination form. Print it off, fill it out (please print clearly) and send it to:

Te Tohu Taakaro O Aotearoa Charitable Trust, PO Box 23650, Papatoetoe 2155

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OR

3ONLINE NOMINATION

Once completed press submit and this will automatically be sent to Māori Sports Awards.

    NOMINEES DETAILS

    Name

    Sport

    Mailing Address

    Phone (home)

    Phone (work)

    Email Address (home)

    Date of Birth

    Sex

    Iwi/s (If required you may be asked to have your Iwi verified.)

    Hapu

    Marae

    AWARD NOMINATED FOR

    Māori Sports Administrator of the Year
    Māori Sports Umpire/Referee of the Year
    Māori Para Athlete/Team of the year
    Māori Sports Coach of the Year
    Māori Junior Sportswoman of the Year, U/20 (current year)
    Māori Junior Sportsman of the Year, U/20 (current year)
    Māori Sports Team of the year
    Māori Senior Sportswoman of the Year
    Māori Senior Sportsman of the Year
    Individual Māori World Champions

    Nominees can be nominated in more than one category, please tick all the categories to be considered.

    NOMINATED BY

    Name

    Relationship to Nominee

    Mailing Address

    Phone (home)

    Phone (work)

    Email Address (home)

    NOMINEES ACHIEVEMENTS

    Over the 12 months prior to the Māori Sports Awards Event (or later depending on National & International Events).

    PRIVACY PROVISIONS

    While recipient names, rohe, age, Iwi, and scholarship will be publicised within the kaupapa of the Māori Sports Awards Events, the personal information requested in this application form will be used solely for the purposes of assessing your application for a Māori sports award. Administered by te Tohu Taakaro O Aotearoa Charitable Trust. Personal information contained in this application will be made available to members of the Judging Committee.

    Should you have reason to believe that information held about you in either your application or your academic record is incorrect, you have the right of access to, and correction of, that information, up until the point of destruction, if applicable.

    References from the persons you have named are obtained on the strict understanding that they are confidential, and you may not have access to those reports without the written authorisation of the author.

    I the nominee, agree to the above conditions in respect of this Maori Sports Award application Dated

    The Awards Event recognizes sporting achievements from: 30 November - 31 October (or later depending on National & International Events)
    Closing date for receiving nominations is 31 October
    No late entries will be accepted
    A judging committee will select the finalists and recipients in each category and no correspondence will be entered into.
    The finalists will be required to attend the awards ceremony displayed on the web site www.maorisportsawards.co.nz.
    Award finalists will receive two complimentary tickets to the Awards and assistance with travel and accommodation.

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