New Zealand Down Syndrome Association
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New Zealand Down Syndrome Association
NEW ZEALAND DOWN SYNDROME ASSOCIATION National Achievement Awards The NZDSA is calling for nominations for the NZDSA 2010 National Achievement Awards. These awards recognise the accomplishments of people with Down syndrome during 2009.
All nominations must be received by 18 January 2010 The awards will be announced in March 2010 at our National T4T event to celebrate World Down Syndrome Day (WDSD). 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.
Name of Nominee: ____________________________________________________ Address: ____________________________________________________________ Tel:
________________________
Member of NZDSA : Yes/No
Email ______________________________
Age (On 31 December ‘09):
_____________________
Nominee’s Achievement(s) in 2009 Achievement/s: __________________________________________________________ Date: ___________________ Venue: ____________________________________ Please submit a written description (between 300 - 500 words) stating why the nominee should be recognised. This description can include details about the achievement/s of the nominee in 2009 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 18 January 2010
NEW ZEALAND DOWN SYNDROME ASSOCIATION National Achievement Awards The NZDSA is calling for nominations for the NZDSA 2010 National Achievement Awards. These awards recognise the accomplishments of people with Down syndrome during 2009.
All nominations must be received by 18 January 2010 The awards will be announced in March 2010 at our National T4T event to celebrate World Down Syndrome Day (WDSD). 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.
Name of Nominee: ____________________________________________________ Address: ____________________________________________________________ Tel:
________________________
Member of NZDSA : Yes/No
Email ______________________________
Age (On 31 December ‘09):
_____________________
Nominee’s Achievement(s) in 2009 Achievement/s: __________________________________________________________ Date: ___________________ Venue: ____________________________________ Please submit a written description (between 300 - 500 words) stating why the nominee should be recognised. This description can include details about the achievement/s of the nominee in 2009 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 18 January 2010
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