The NZDSA is calling for nominations for the NZDSA 2015 National Achievement Awards. These awards recognise the accomplishments of people with Down syndrome during 2014. All nominations must be received by 27th February 2015 The awards will be announced at a National Achievement Award Event This form may be completed by a person with Down syndrome or by a relation, friend, community leader or colleague of a person with Down syndrome. Nominees must be members of the NZDSA Name of Nominee: ____________________________________________________ Address: ____________________________________________________________ Tel: ________________________ Email ______________________________ Age (On 31 December ‘14): _____________________ Name of nominator _____________________________________________________ Tel: ___________________________ Email _______________________________ Nominee’s Achievement(s) in 2014 Achievement/s: __________________________________________________________ Date: ___________________ Venue: ____________________________________ Please submit a written description (between 300 - 600 words) stating why the nominee should be recognised. This description should include details about the achievement/s of the nominee in 2014 as well as providing a detailed overview of the nominee, which can include previous achievements, hobbies, interests, recreation activities, or academic achievements. Please attach a photograph of the nominee. Referee: (Someone who can confirm the details of the achievement/s) Name: ________________________________ Tel: _____________________________ Address: _______________________________________________________________ Email:________________________________________________________________ I agree that my story can be published in the NZDSA Journal and I am willing to participate in national media. Signed by person nominated __________________________Date____________________ Signed by guardian _________________________________ Date_____________________ Post to: Linda te Kaat P O Box 4142 Auckland Email to: Linda te Kaat [email protected] Nominations must be received by 27th February 2015
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