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 the meeting date which your application will be considered. We will then advise you the outcome of the Trustees decision as soon as possible after the meeting.
What is your full name? *

First Name Last Name
What is your date of birth? *

Month Day Year
Please note the layout is mm-dd-yyyy

What is the highest qualification you currently hold? *

Tertiary qualification (please provide details) NCEA Level Three NCEA Level Two NCEA Level One
What is the tertiary qualification you hold?

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 date your started your qualification? *

Month Day Year
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? *

Month Day Year
Please note the layout is mm-dd-yyyy.

Have you already completed some papers towards this qualification? *

Yes No
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 Name Last Name
Email address of first referee *
example@example.com
Phone number of first referee *

Area Code Phone 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 Name Last Name
Email address of second referee *
example@example.com
Phone number of second referee *

Area Code Phone 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 accepted Yes, but my application was declined No

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

Yes No
Can you please provide the names of any organisations you have applied to and the amount you have applied for or expect to receive?

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

Cancel of

How did you hear about the Awarua Trust? *

Internet search (i.e. Google) Advertising Word of mouth Tertiary Institute Returning applicant (i.e. you have received a scholarship from us in the past)

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. *

Yes No

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. *

Yes No

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