Outstanding Member of the University Community
Do you know a student who has been an integral part of our university and deserves recognition? Have they shown impressive leadership skills to benefit the student or university community? Or have they been an exceptional volunteer at university or OUSA events. If any of the above sounds like someone you know, nominate them for an Otago award to acknowledge their hard work and dedication to giving back to the Otago community.
Achievements from 20th August, 2016 to 18th August, 2017.
Personal information of the nominee
State any information relevant to the appropriate Faculty.
Supporting documents such as selection letters, or letters of endorsement must come from a person with authority in the chosen field. (Eg, Administrator or coach)
Other relevant information:
Photos to be used during awards ceremony
I understand that I am being nominated, or nominating someone else for a 2017 Outstanding Member Of The University Community Award and I authorise my name, voice or picture, and any other information given on this form to be used without payment in any broadcast, telecast, advertising, promotion or in any other way relating to this event. In addition, the Otago University Students’ Association has my permission to gain access to my academic results for the year of my nomination. I certify that the information provided in this nomination is true and correct. I understand that incorrect, misleading, or omitted information may result in my nomination for an Award being rejected, or if discovered subsequent to conferral may result in my Award being revoked.
Do Not Fill This Out