Building a stronger futurefor all New Zealanders
Make a donation Make an online donation
All fields are required unless indicated as optional.
Their full name
Date of birth
Address
Home phone
Work phone (optional)
Email address (optional)
Your full name
Organisation (optional)
Name
Physical address
Why do you consider your nominee to be a candidate for this award?Describe their character and attributes:
Describe the attributes the nominee shows that sets them apart and their physical efforts as a role model to others. Include their main interests and activities, groups and clubs they belong to, workplace contributions and other information which is relevant to their nomination (including other previous recognition and awards received).
Interests, activities, groups and clubs to which they belong
Physical activity involvement
Achievements from above
How do they promote the benefits of their lifestyle to others?
How has your nominee had a positive benefit on their family, friends,community and workplace?
What motivates your nominee?
