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

Email

Comments

VET coordinator or school representative signature: Date:

Section 4: Registered Training Organisation (RTO) to complete (optional)

Name

Contact number

Email

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 ntbos@nt.gov.au (preferred option) or via post to: GPO Box 4821, Darwin NT 0801

Northern Territory Board of StudiesPage 5 of 5