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Greenlea Foundation/Spectrum Energy Scholarship Information
Background
The Greenlea Foundation Scholarships through Spectrum Energy (a branch of Enrich+) were
created in 2015 with the purpose of enabling Spectrum Energy’s supports to be available to all.
Through the generous sponsorship from The Greenlea Foundation these scholarships are to be
used for the uptake of Spectrum Energy autism supports. Those selected will work alongside the
Spectrum Energy team to plan the best mix of supports available.
Criteria
Applicants for the scholarships must:
 Identify as living on the autism spectrum/ with autistic traits
 Live in the Waikato
 Be aged 8 and above
 Face financial hardships and would otherwise be unable to access support
Selection
A selection committee of three has been appointed, including a person who lives on the autism
spectrum. The selection committee will review all applications and both successful and
unsuccessful applicants will be contacted by Spectrum Energy staff. The selection process will be
based off of financial need, previous supports accessed and the needs of the applicant. The
decision of the Selection Committee shall be final and no correspondence will be entered into.
Applications
Application forms are available from the Enrich+ website or offices. Applications close on May 8th
and the committee will meet in the following week. There is a finite number of scholarships
available but depending on interest and applications we may call for another round of applications
later in 2015.
Privacy Provisions
The information requested in the application form will be used solely for the purposes of assessing
your application.
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Scholarships
Spectrum Energy
Author:
Authorised By:
Authorised Date:
A Phillips
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Greenlea Foundation/Spectrum Energy Scholarship Application Form
My Personal Details
Name:
Date of Birth:
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Male
Female
My Ethnicity
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NZ European / Pakeha
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New Zealand Māori
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Samoan
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Cook Island Māori
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Tongan
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Niue
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Fijian
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Australia
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Other
Please specify if ‘Other Pacific Peoples’, ‘Other European’, ‘Other Southeast Asian’, ‘Other Asian’ or
‘Other’
My Contact Details
Street Address:
Suburb:
Town / City:
Postcode:
Phone Number:
Mobile Number:
Email Address:
My Family / Support Person Contact (if applicable)
Name:
Relationship:
Street Address:
Suburb:
Town / City:
Postcode:
Phone Number:
Mobile Number:
Email Address:
Category:
Section:
Doc Ref #
Scholarships
Spectrum Energy
Author:
Authorised By:
Authorised Date:
A Phillips
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My Residential Provider (if applicable)
Name:
Street Address:
Suburb:
Town / City:
Postcode:
Phone Number:
Mobile Number:
Email Address:
What aspects of autism could we support you with?
What other support services have you tried in the past/are you involved with now?
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Section:
Doc Ref #
Scholarships
Spectrum Energy
Author:
Authorised By:
Authorised Date:
A Phillips
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Version:
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Briefly tell us why you feel you need a Greenlea Foundation Scholarship? (please refer to the Criteria)
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Section:
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Scholarships
Spectrum Energy
Author:
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Authorised Date:
A Phillips
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Declaration
I have completed this form myself:
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Yes
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No
If I answered no, who completed this form for me?
I believe the information I have given above is accurate and true
Name:
Signature:
Date:
Thank you for completing this form. Please post this back to Enrich+ or email to
[email protected]
This information will be viewed by the Spectrum Energy Scholarship committee.
The team at Spectrum Energy will be in touch with you if we require any further information or
once a decision has been made by the committee.
Category:
Section:
Doc Ref #
Scholarships
Spectrum Energy
Author:
Authorised By:
Authorised Date:
A Phillips
Viewed by W Becker
Being trailed prior to QX.
Version:
Review Date:
1
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