Nomination for Independent Schools of New Zealand Honours Award 2017

SECTION 1: Information about the Nominee (person you are nominating for this Award)
Personal details
Contact details

NOMINATOR PLEASE NOTE:
THIS NOMINATION IS TO BE MADE CONFIDENTIALLY AND THE PERSON BEING NOMINATED WILL BE ADVISED ONLY IF OR WHEN THEY HAVE WON AN AWARD.

SECTION 2: Information about the Nominator (person making the nomination)
Personal details
Contact details
(e.g. Service to Chemistry)
SECTION 3: The nomination details
Positions held by the Nominee
 Organisation / SchoolPositionFrom (e.g. Oct 2010)To (e.g. Oct 2010)Full or part time
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Please set out the main positions held by the Nominee and the period of service.
Other Awards
If the Nominee has received any other awards in recognition of their achievements, please list them here.
 AwardYear
First
Second
Third
Fourth
Fifth
Sixth
Seventh
References or Letters of Support
You may attach up to five references or letters of support that endorse the Nominee's contribution from people who are familiar with their service and achievements. The references or letters of support should add depth to the nomination. Please attach references or letters of support to this form and list the names of the support persons below. At least one of the references should come from a person outside of the school community.