Student Information

Nominating School is required
Level is required
Year is required
Student Name is required
Iwi is required
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Accepted file types: png, jpg, jpeg, docx, xlsx, pdf
Student Photo is required

Student Achievements

Please list the student’s achievements under one or several of the following headings:

Whakauru i te iwi whānui / Community or cultural involvement *
Community/Cultural Involvement is required
Te ārahina / Leadership *
Leadership is required
Mātauraka / Academic *
Academic is required
Hākinakina / Sporting *
Sporting is required
He kōrero tautoko anō / Other supporting information not previously covered

Mana Pounamu Young Achiever Recipient Testimonial

To be completed by the school principal or their nominee

Nominee Testimonial is required
Nominee is required
Nominee Position is required

Mana Pounamu Young Achiever Recipient Whānau Endorsement

To be completed by a whānau member. Please tell us how wonderful your rakatahi is (include any information not previously covered).

Whanau Endorsement is required
Endorser Name is required
Endorser Relationship is required

Mana Pounamu Media Consent

Thank you for agreeing to participate in future promotions of Mana Pounamu. We would appreciate you completing this form as an indication that you understand the purposes for which your image/statements/artwork/name, and/or profile will be used.

Media Consent Permission is required
Media Consent Discretion is required
Media Consent Update is required
Media Consent Minor is required

Providers Details

Provider Name is required
Provider Email is required
Information Correct is required