2025 PUBLIC HEALTH AWARDS - NOMINATION FORM

Nominations for the 2025 Public Health Awards close MIDNIGHT [date]

Please use this form to nominate a person or group for one of the 2024 Public Health Association of New Zealand awards.

The awards that are on offer are:

Public Health Champion
Tū Rangatira mo Te Ora
Pasifika Public Health Award
Asian and Ethnic Peoples Public Health Award

Important dates for the four awards are:

Nominations close [DATE]
The 2025 awards ceremony will be held on [DATE]

Note that the person or group being nominated must agree to the nomination and provide their personal details.

By submitting the nomination form, you agree that the information provided can be used by the Public Health Association of New Zealand’s marketing and media in promoting the awards.

Please note that nominee’s will not be contacted unless they have been shortlisted.

Which award would you like your nominee to be considered for?

Nominee's name

First Name

Last Name

Nominee's email address

Nominee's phone number (Note: nominee’s will not be contacted unless shortlisted)

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Please explain in 400 words or less, why you are nominating this person / group

Name of person nominating

First Name

Last Name

Email address of person nominating