Scholarship Application Form

Scholarship Application Form

Please check you meet the criteria before submitting your application. The scholarship criteria is set out on our website www.awaruatrust.org.nz. If you have any queries in relation to completing the application form please e-mail us at info@awaruatrust.org.nz. Once we receive your application we will send you an e-mail confirming receipt. New Scholarship applications are considered at each trust meeting, held every 2 months. For consideration of continuation of a Scholarship for Semester 1 in any year the results from Semester 2 of the previous year must be received at least 1 week prior to the February Meeting date for the relevant year. For consideration of continuation of a Scholarship for Semester 2 in any year the results from Semester 1 of the current year must be received at least 1 week prior to the August Meeting date for the relevant year. If a student is having trouble/delays in obtaining results they must communicate this with the trustees. We will then advise you the outcome of the Trustees decision as soon as possible after the meeting.
What is your full name?*

First NameLast Name
What is your date of birth?*

MonthDayYear
Please note the layout is mm-dd-yyyy

What is your phone number?*

Area CodePhone Number

What is your e-mail address?*
example@example.com

What is your postal address?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your country of birth?*

What is the highest qualification you currently hold?*

Tertiary qualification (please provide details)NCEA Level ThreeNCEA Level TwoNCEA Level OneOther
What is the tertiary qualification you hold?

What are your achievements to date?*

What are your long term career objectives?*

What is the name of the qualification you have enrolled in?*
This is the qualification which you intend on using the scholarship funds for

What is the name of the tertiary institute you are enrolled with?*

What is the date your started your qualification?*

MonthDayYear
Please note the layout is mm-dd-yyyy. If you have not started your qualification, please provide the date which you expect your studies to start

What is the date you expect to complete your qualification?*

MonthDayYear
Please note the layout is mm-dd-yyyy.

Have you already completed some papers towards this qualification?*

YesNo
What are the names of the papers you have already completed? What grade did you get for each paper?

Please provide the name of a referee we can contact to discuss your application*

First NameLast Name
Email address of first referee*
example@example.com
Phone number of first referee*

Area CodePhone Number
What is the first referee's relationship to you?*

Please provide the name of a second referee we can contact to discuss your application*

First NameLast Name
Email address of second referee*
example@example.com
Phone number of second referee*

Area CodePhone Number
What is the second referee's relationship to you?*

Have you applied to the Awarua Trust for a scholarship in the past?*

Yes and my application was acceptedYes, but my application was declinedNo

Have you applied for (or do you intend on applying for) any other scholarship/funding to support with your studies?*

YesNo
Can you please provide the names of any organisations you have applied to and the amount you have applied for or expect to receive?

Are you GST registered?*

YesNo
What is your GST number?

What is your bank account number?*
Please note, this is the bank account number which the scholarship will be paid into if your application is accepted

Please provide details of income sources (i.e. income saved towards fees, Studylink contributions, wages etc.)*

Please provide details of all expenses (please note this cannot include food, clothing, entertainment or similar expenses). You may be asked to provide evidence of the expenses your list here.*

Please upload any documents/information you think may be relevant to your application

Browse Files

Cancelof

How did you hear about the Awarua Trust?*

Internet search (i.e. Google)AdvertisingWord of mouthTertiary InstituteReturning applicant (i.e. you have received a scholarship from us in the past)Other

Please read the following notes and provide confirmation that you agree to the same. The Trustees are committed to selecting the most suitable recipients in a fair and open manner. The Trustees may seek further information from me when considering my application. I may be asked to attend an interview with the Trustees. In the event that the scholarship is not used in a manner which complies with the conditions of the application (as determined by the Trustees) I will return the scholarship in full to the Trust within 7 days. If the scholarship is not returned, I will reimburse the Trust for all costs incurred (including legal costs on a solicitor/client basis) in recovering the scholarship from me. All scholarship monies will be used for the purpose for which I have applied for them and will be used within six months from the date I receive the funds. I am obliged to refund the money if I receive funding from a different source for the same purpose. I will provide copies of all invoices, receipts and bank statements if requested to do so by the Trustees. If I do not use all the scholarship funds within six months from the date they are paid to me, I will refund the surplus to the Trust. I will comply with any request from the Trust for additional information in relation to how the monies have been spent by me.*

YesNo

I hereby make a solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957. I declare that the information provided in this application is true and correct, to the best of my knowledge.*

YesNo

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