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CHB CIVIC AWARDS THE CIVIC HONOURS AWARD NOMINATION (Central Hawkes Bay District Council New Zealand)

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CHB CIVIC AWARDS
THE CIVIC HONOURS AWARD
NOMINATION FORM 2020
Please read the accompanying nomination guidelines before completing this form.
SECTION 1 - NOMINEE
Personal details (*Required details)
Title*: First Name*:
Date of birth:
Gender*:
Surname*:
Male Female Other
Occupation/Profession:
(if retired state previous occupation profession)
Length of residence in Central Hawke’s Bay:
Contact details
Street No *: Postal Code *:
Street Name *:
Suburb:
Town*:
Home Phone: Mobile phone:
Email address*:
SECTION 2 – NOMINATED BY
Personal details
Title*: First Name*: Surname*:
Relationship to nominee*:
Contact details
Street No *: Postal Code *:
Street Name *:
Suburb:
Town*:
Home Phone: Mobile phone:
Email address*:
SECTION 3 – SECONDED BY
Personal details
Title*: First Name*: Surname*:
Relationship to nominee*:
Contact details
Street No *: Postal Code *:
Street Name *:
Suburb:
Town*:
Home Phone: Mobile phone:
Email address*:
SECTION 4 – THE NOMINATION DETAILS
Please complete all the sections below
1. Describe the service and achievements of the nominee:
2. Describe the contribution the nominee has made to the Central Hawke’s Bay community:
3. Describe what makes the nominee’s service and achievements stand out above and beyond that of their peers, or
above and beyond what might reasonably be expected as part of their paid employment (if applicable):
4. Describe how the nominee’s service and achievements are regarded by their colleagues, and whether they have
been formally recognised by their colleagues or through other awards (e.g. NZ National Honour, life membership of
an organisation, honorary doctorate):
Letters of Support
Please obtain one or more letters that endorse the nominee’s contribution from people who are familiar with his or
her service and achievements. The letters of support add depth to the nomination.
Please attach the letters of support to this form and list the names of the support persons below:
NAME OF PERSON OR ORGANISATION
TICK IF LETTER IS ATTACHED
SECTION 5 – CHECKLIST AND SENDING APPLICATION
☐Have you re-checked your nomination and ensured all the compulsory information has been provided?
☐Have you answered all the questions in section 4?
☐Are your letters of support enclosed with this nomination?
☐Have you supplied a current photo of the nominee if possible?
CIV
IC HONOURS AWARD
NOMINATION GUIDELINES 2020
Please read the accompanying nomination guidelines before completing this form.
This guide is designed to help you nominate (or re-nominate) a person for a CHB Civic Honours Award.
Central Hawke’s Bay Civic Honours Award
The Civic Honours Award is the most prestigious of the CHB Civic Awards and will be presented to individuals that have made an
outstanding contribution to the CHB community over a long period. The Award is awarded in recognition of substantial service
(usually of a voluntary nature or beyond normal employment).
Substantial service includes short term or long-term projects or activities that have benefited the Central Hawke’s Bay community,
adding to the quality of life or residents.
The Civic Awards Committee may award up to four Civic Honour Awards annually.
What are the CHB Civic and Community Awards?
Central Hawke’s Bay District Council (Council) introduced its Civic Honours Award system in 1991 to enable voluntary service
within the District to be duly recognised.
The Civic Honours Award was established at the initiative of the Central Hawke’s Bay Country Women’s Institute and the New
Zealand 1990 Commission to mark the NZ 1990 year.
Since its inception, up to four Civic Honours Award have been presented annually. In 2019, the Civic Awards Committee sought to
broaden the way it acknowledges and celebrates outstanding community service within the Central Hawke’s Bay District.
The CHB Civic Awards now provides for multiple acknowledgements of community service through two additional categories of
awards — the Community Service Awards and the Community Organisation of the Year Award.
Who can make a nomination?
Any two members of the community can nominate a person they think is worthy of a CHB Civic Honours Award. The only exclusions
are members of the Civic Awards judging panel. Nomination can be made by any two citizens of the District, or by two executive
officers of any bona fide organisation, association, club, or society based in the Central Hawke’s Bay District.
Nomination submissions should include sufficient detail of a nominee’s merits, not emphasising or confined to offices held, but
clearly showing the extent of a nominee’s involvement in a field of community service.
A minimum of two signed letters shall support a nomination.
A nomination must be signed by:
a) two citizens of the District, or
b) two executive officers of a bona fide organisation, association, club, or society.
Who can be nominated?
• Any ci
tizen residing in Central Hawke’s Bay can be nominated for their substantial service to the community.
• In exceptional circumstances, an award may be granted to a non-Central Hawke’s Bay resident, if the service has been carried
out wholly or predominantly in the Central Hawke’s Bay District.
• A nominee who has in previous years received a Community Services award is eligible for Civic Honours Award nomination in
subsequent years.
• An unsuccessful nomination, in any category, can in subsequent years be resubmitted for further consideration.
• Nominees who have previously received a New Zealand National Honour are not eligible to be nominated for a Civic Honours
Award.
Completing the nomination form
•
Please complete the nomination form completely and accurately.
•
It is important that you provide as much factual, relevant information as possible about your nominee and
the reasons for which recognition is sought.
•
Describe what is special about your nominee’s achievements and what they have done to deserve a Central
Hawke’s Bay Civic Honour Award.
•
Tell the story of how they have made a difference in their community and give an indication of their longevity
of service.
•
Show how they have improved the lives of others, or exemplified selfless voluntary service.
• You may list your nominee’s occupation and positions held in organisations, but you need to be specific about
the achie
vements that make them stand out above and beyond their peers.
•
Support letters add depth to the nomination and validate your nominee’s character and achievements.
•
It is not appropriate to nominate yourself or your organisation for a Central Hawke’s Bay Civic Award, and any
such nominations will not be considered.
Submitting the nomination
Nominations open 23 July 2020 and close 27th August 2020. The nomination form and letters of support can
either be submitted online, supplied in hard-copy via post, or dropped to the Central Hawke’s Bay District Council
office:
Governance Officer
Central Hawke's Bay District Council
PO Box 127
28-32 Ruataniwha St
Waipawa 4240
or the items can be emailed to governance@chbdc.govt.nz.
What happens next?
•
You will receive a letter from the Office of the Mayor to inform you if your nomination has been
successful or unsuccessful.
•
An official letter will then be sent from the Office of the Mayor to congratulate the awardee and provide
information on the ceremony.
•
A short citation will be written based on the information you provide. This will be presented to the awardee
in advance of the ceremony to ensure all details are correct.
If you have any further questions or require guidance in the preparation of the nomination, please contact:
Bridget Gibson
Governance Support Officer
Central Hawke's Bay District Council
Ph: 06 857 8060
Email: governance@chbdc.govt.nz
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