Nomination formKarmi Sceney (Urban and Remote) Aboriginal Excellence and Leadership AwardQuestions are followed by answer fields. Use the ‘Tab’ key to navigate through. Replace Y/N or Yes/No fields with your answer.Select award categoryUrban – Aboriginal Excellence and Leadership awardRemote – Aboriginal Excellence and Leadership award

Student contact details

Student name

Student Postal Address

Student email address

TelephoneMobileSchool contact details (for award invitation purposes)

School name

School address

School phone

School email

Principals name

Principals signature

Northern Territory Board of Studies2 September 2019Page 1 of 7

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.End of form

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Nomination form

SCHOOL SUPPORT FORM

School to provide written support on behalf of the student you are nominating for an Excellence and Leadership award by completing the following.Questions are followed by answer fields. Use the ‘Tab’ key to navigate through. Replace Y/N or Yes/No fields with your answer.Student name

School name

Name and role of staff member completing the formSchool phone

School email

1. List the student’s outstanding achievements whilst undertaking an NTCET

2. Against which of the seven capabilities do you believe the student’s achievements are best described

☐Literacy☐Numeracy☐Information and Communication technology capability☐Creative and critical thinking☐Personal and social capability☐Ethical understanding☐Intercultural understanding

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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.End of form

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Nomination form

3. Provide below a summary (maximum of 300 words) supporting the nomination by the school. Use the Community Involvement form to verify any activity undertaken in the wider community. (The seven capabilities are provided as a guide – please complete one or more).

1 Literacy

2 Numeracy

3 Information and communication technology capability

4 Creative and critical thinking

5 Personal and social capability

6 Ethical understanding

7 Intercultural understanding

If the student is undertaking a ‘Board recognised course (such as a Vocational Education and Training qualification interstate subject) please provide the necessary details.

a. Name of Board recognised course b. Grade or score of qualification obtained

Principal signature: Date:

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Nomination form

COMMUNITY INVOLVEMENT FORM

The Karmi Sceney Aboriginal Excellence and Leadership awards are coordinated by the Northern Territory Board of Studies to recognise Aboriginal students’ exceptional achievements whilst undertaking the Northern Territory Certificate of Education and Training.Use the Community Involvement Form to outline any activity undertaken in the wider community. (The seven capabilities are provided as a guide.

Name of student

Name and role of person completing the Community Involvement form

Phone

Email

Please comment on an aspect of the student’s achievement which you can verify relating to one or more of the capabilities below1 Literacy

2 Numeracy

3 Information and communication technology capability

4 Creative and critical thinking

5 Personal and social capability

6 Ethical understanding

7 Intercultural understanding

Please complete:I endorse the application of (insert student name) for the Aboriginal Excellence and Leadership award Name: School: Position: Signature:

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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.End of form

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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