VYA Youth Awards

Eligibility Criteria

  • All nominees must be aged 12-24 years on 5 July 2019.
  • All nominees must live within Matamata-Piako District during 2019.
  • You can nominate yourself.
  • Members of the Volunteer Youth Ambassadors, as the organising committee, cannot be nominated.
  • Members of the judging panel are not eligible to submit a nomination.

Nominee's details

First Name*
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Last Name*
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Age*
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Email*
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Address*
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Parent/Guardian's Details

If the nominee is aged between 12-17, please provide contact details for a parent or guardian

Parent/Guardian's Name
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Parent/Guardian's phone or email
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Nominator's details

First Name*
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Last Name*
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Email*
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Phone*
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Nomination

Select the award(s) the nominee is being nominated for (select all that apply)*




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Briefly state why the nominee would be a worthy recipient of the Entrepreneurship and Innovation award. Is the nominee involved in any other community groups - if so, please explain.
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Briefly state why the nominee would be a worthy recipient of the Overcoming Adversity award. Is the nominee involved in any other community groups - if so, please explain.
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Briefly state why the nominee would be a worthy recipient the Arts/music award. Is the nominee involved in any other community groups - if so, please explain.
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Briefly state why the nominee would be a worthy recipient of the Employee Award. Is the nominee involved in any other community groups - if so, please explain.
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Briefly state why the nominee would be a worthy recipient of the Cultural Contribution award. Is the nominee involved in any other community groups - if so, please explain.
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Briefly state why the nominee would be a worthy recipient of the Environmental Commitment award. Is the nominee involved in any other community groups - if so, please explain.
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Describe how the nominee has stood out in the community. Include groups the nominee chairs, organises or volunteers with where these qualities have been expressed and shown.
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Please list any relevant awards of achievement or recognition, newspaper articles including publication source and publication date or any other comments supporting your nomination
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Security code*
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Upload supporting documents
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