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Nomination formVocational Education and Training AwardQuestions are followed by answer fields. Use the ‘Tab’ key to navigate through. Replace Y/N or Yes/No fields with your answer.Select year level
Year 11Year 12
Section 1: Student to complete
Title
First name
Surname
Date of birth
Postal address
Email address
Telephone
Student signature
Date
School contact details (for award invitation purposes)
School name
School contact
Telephone
Northern Territory Board of Studies3 September 2019Page 1 of 5
Nomination form
Questions are followed by answer fields. Use the ‘Tab’ key to navigate through. Replace Y/N or Yes/No fields with your answer.Email
Name of Qualification/Statement of Attainment being undertaken or completed.
End of form
1. Why did you choose this particular program?
2. What benefits have you gained from undertaking this Vocational Education and Training program?
3. Statement of claim from nominee (why I deserve to win)
Northern Territory Board of StudiesPage 2 of 5
Nomination form
VET student signature: Date:
Northern Territory Board of StudiesPage 3 of 5
Nomination form
Section 2: List below and attach copies of your qualification/statements of attainment to your application
Section 3: Comments to be provided by the Vocational Education and Training (VET)coordinator or school representative
Name
Contact number
Comments
VET coordinator or school representative signature: Date:
Section 4: Registered Training Organisation (RTO) to complete (optional)
Name
Contact number
Comments
RTO signature: Date: Questions are followed by answer fields. Use the ‘Tab’ key to navigate through. Replace Y/N or Yes/No fields with your answer.End of form
Northern Territory Board of StudiesPage 4 of 5
Nomination form
Questions are followed by answer fields. Use the ‘Tab’ key to navigate through. Replace Y/N or Yes/No fields with your answer.
Further informationNominations close:Friday 8 November 2019Email the nomination form to: Executive Officer NT Board of Studies [email protected] (preferred option) or via post to: GPO Box 4821, Darwin NT 0801
Northern Territory Board of StudiesPage 5 of 5
