Entry form: Excellence in Health and Safety Leadership AwardEntry form: Excellence in Health and Safety Leadership AwardPlease complete all sections of this form before submitting. You can upload a separate file(s) with supporting documentation using the File Upload option at the bottom of the form. Entry detailsNominating employerEntrant's nameContact detailsContact personDesignationPhone/MobileEmailManagement sign-off detailsNameDesignationEmailAgreementI/We declare that I/we have read and accept the terms and conditions of entry for this award AgreeI/We have provided electronic copies of all material with this application or emailed to communications@eea.co.nz AgreeI/We declare that all the information provided is factually accurate and complete AgreeEntry requirements: summary and evidencePlease use the file upload option if your summary and responses are in another format and/or you wish to upload an image to go with your submission.Entry summary (250 word limit)Strategic and visionary leadership (200 word limit)Actions and outcomes (600 word limit)Ethical and personal behaviour (200 word limit)Development of others (200 word limit)File UploadChoose File Submit Form