Nomination formGTNT School-Based Apprentice/Trainee AwardQuestions are followed by answer fields. Use the ‘Tab’ key to navigate through. Replace Y/N or Yes/No fields with your answer.Student contact details

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

Email

Name of qualification:

Northern Territory Board of Studies4 September 2019Page 1 of 4

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.Name of employer or Group Training Organisation

Name of host employer

Name of Registered Training Organisation

End of form

Eligibility criteria1 Applicant must have completed a school based apprenticeship or traineeship certificate II

qualification2 Or partially completed a school based apprenticeship or traineeship Certificate III qualification3 Will complete the Northern Territory Certificate of Education and Training by December 2019

Section 1: Student to complete (comments against the criteria)

1. On the job achievements (performance, productivity in the workplace)

2. Off and on the job achievements (training, workbooks, study etc.)

3. Personal qualities

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Nomination form

4. Statement of claim from nominee (why I deserve to win)

5. Provide a minimum of two items of supporting evidence. Suggested list below

Letter of support Testimonials Work written reference Referee contact Portfolio of evidence (photos) Copies of qualifications if available

School-based apprentice/trainee signature: Date:

Section 2: VET coordinator or school representative to completeName

Contact number

Email

Comments

School VET coordinator or school representative 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

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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

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