Prime Minister’s Pacific Youth Awards Application Form 2018

How your information will be used

I understand that:

  1. The Ministry for Pacific Peoples (The Ministry) is collecting the personal information supplied by me on this form for the purposes of the Prime Minister's Pacific Youth Awards.
  2. My personal information is provided to the Ministry for the purposes of processing my application.
  3. The information supplied by me on this form may be shared with the Sponsor of any Award I apply for, to enable the consideration and assessment of my application. 
  4. The Ministry will seek my prior authorisation before using my personal information for Awards promotional purposes.
  5. The information supplied by me on this form will be collected and held by the Ministry. The address of the Ministry is: Ministry for Pacific People’s 101-103 The Terrace, P O Box 833 Wellington. The Ministry can be contacted by email at pmpya@mpp.govt.nz
  6. My personal information is being provided voluntarily. If all the information requested is not provided, there are no consequences except where it may affect eligibility for entering the Awards. I am entitled to have access to and request correction of any of my personal information held by the Ministry.

Tell us about yourself

Please provide two written references to illustrate your ability to meet the criteria of the award you are applying for, your potential to advancing positive outcomes in the Pacific community and why you deserve the award.
Please provide two written references to illustrate your ability to meet the criteria of the award you are applying for, your potential to advancing positive outcomes in the Pacific community and why you deserve the award.
Thank you for completing your application.  Before you click Submit, please check all fields have been completed, and the references have been attached. Incomplete applications will not be considered. Thank you

APPLICATIONS MUST BE RECEIVED BY 5:00pm 6 FEBRUARY 2018 TO BE CONSIDERED. 

The Ministry will also accept hard copies of the application form.

Download the form (Word, 1.6MB)

Please scan and email the form to pmpya@mpp.govt.nz, or mail it to 

Ministry for Pacific People’s
101-103 The Terrace
P O Box 833
Wellington