Nomination Form RECOGNITION OF SERVICE CERTIFICATES - NZSTA - nzsta org 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the person being nominated in the designated field. Ensure that you print their name clearly.
  3. Select the appropriate award by ticking the relevant box: Acknowledgement of Service Certificate, Long Service Certificate, or Recognition of Contribution Certificate.
  4. Provide a continuous service history for the nominee on NZSTA member boards. List each board in date order, starting with the most recent. Fill in the name of each board, commencement and end dates, along with referee contact details.
  5. In the section for 'Reason for nomination/background of nominee', provide a detailed explanation supporting your nomination.
  6. Ensure that the form is signed by either the board chairperson or school principal and include their printed name and address where the certificate should be sent.

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