Pounamu Taonga award nomination form

First Nations Studies

Name of Nominee - Optional

Program of Study - Optional

Please select one - Optional

Undergraduate

Graduate

Phone Number - Optional

Aboriginal Affiliation - Optional

In what capacity do you know this student? - Optional

Please comment on the following in relationship to the nominee:

Academic Achievement - Optional

University Involvement / Service - Optional

Community Involvement / Service - Optional

Name of Nominator - Optional

Nominator Email Address - Optional

�� Position - Optional