BLAKE Awards – Individual Nomination Nomination form for the 2025 BLAKE Awards - Individual Step 1 of 2 50% Which award are you nominating for? Tick as many boxes as you feel suitable for your nominee.(Required) BLAKE Award - Pūtaiao/Science BLAKE Award - Pakihi Auaha/Business BLAKE Award - Pouako / Communication & Education BLAKE Award - Poutoko Hapori / Community BLAKE Award - Rangatahi / Youth Blake Medal – significant lifetime contribution I am nominating:(Required) Myself Someone else If you are nominating yourself, please include a letter of endorsement.Nominee's DetailsWho are you nominating for a BLAKE Award?Name(Required) First Last Email(Required) Phone(Required)Who are you as the nominator?Please let us know who you are so we can contact you should we require additional details.Name(Required) First Last Email(Required) Phone(Required)How did you find out about the BLAKE Awards nominations?How did you find out about the nominations?(Required) Please answer the below questions by either uploading a file with these questions answered, or by submitting your responses in the spaces provided.Nominee detailsPlease tell us why you think your nominee is a suitable recipient for a BLAKE AwardHow have you/your nominee contributed to a more sustainable future for Aotearoa?(Required)Maximum 500 wordsResults/AchievementsList any significant results or achievements that support this nomination(Required)Maximum 500 wordsLeadership qualitiesIn what ways have you/your nominee demonstrated some of the characteristics that make a great leader?In what ways have you/your nominee demonstrated some of the characteristics that make a great leader?(Required)Maximum 500 wordsFile Upload Drop files here or Select files Max. file size: 64 MB. If suitable, please include up to 3 pages of additional information. Only the first 3 pages will be included for our selection panel.