2015 NGĀPUHI SCHOLARSHIP AWARDS
PRE-UNIVERSITY ENTRY (CERTIFICATE or DIPLOMA)
Ki te kore ngā pūtake e mākūkūngia, e kore te rākau e tupu
If the roots of the tree are not watered, the tree will never grow
IMPORTANT – PLEASE READ BEFORE COMPLETING YOUR APPLICATION
o
The closing date for Ngāpuhi tertiary education grants is 5pm, 31 March 2015.
o
You must be registered on the Ngāpuhi Iwi Register.
o
You cannot apply this year if you received a Ngāpuhi Scholarship last year.
o
You must be studying full-time (tertiary education year) in 2015 at a tertiary education
institution in New Zealand or overseas.
o
New Zealand courses of study must be New Zealand Qualifications Authority (NZQA)
or equivalently approved. Overseas applications must meet comparable academic standards.
o
All sections of the application must be completed. Incomplete applications will be returned to the
applicant.
o
Please provide only copies of documents requested. No part of your application will be returned.
o
If you withdraw from your course prior to receiving funding, you must notify
Te Rūnanga-Ā-Iwi-O-Ngāpuhi. Failure to do so, may result in future applications being declined.
W hat happens if your application is :
Successful: You will be notified in writing by 1 May. Monies will be paid into your bank
account by direct credit by 1 May.
o
You can apply again for a Ngāpuhi scholarship in 2017.
Unsuccessful:You will be notified in writing by 1 May.
o
You can apply again in 2016
You are advised to read the Ngāpuhi Scholarship Policy, which gives a full outline of information relating
to this area of funding. Also read Te Rūnanga-Ā-Iwi-O-Ngāpuhi Strategic Plan 2014 – 2019. You can
access an electronic copy on www.ngapuhi.iwi.nz
Email or Post your application by 31 MARCH 2015
Te Rūnanga-Ā-Iwi-O-Ngāpuhi
PO Box 263
Kaikohe 0440
Freephone 0800 NGĀPUHI (0800 642 784) or 09 4015530
Email [email protected]
www.ngapuhi.iwi.nz
Te Rūnanga-Ā-iwi-O-Ngāpuhi Scholarship Application Form
APPLICATION CATEGORIES and AMOUNTS ALLOCATED TO EACH.
PRE-ENTRY TO UNIVERSITY NGĀPUHI AWARD SCHOLARSHIPS
Pre-University entry Certificate / Diploma:
22 disbursements of $500
BACHELOR/UNDERGRADUATE NGĀPUHI AWARD SCHOLARSHIPS
1. Bachelor Degree:
33 disbursements of $1,000
2. Bachelor with Honours Degree [Last year of study only]: 2 disbursements of $1,500
GRADUATE / POST GRADUATE NGĀPUHI AWARD SCHOLARSHIPS
1. Graduate / Post Graduate Diploma:
4 disbursements of $1,500
2. Master:
12 disbursements of $2,000
3. PhD:
2 disbursements of $4,000
2015 NGĀPUHI SCHOLARSHIP AWARD DISBURSEMENTS
$85,000
We encourage you to apply for other scholarships if you are eligible. Although you are NOT bonded when
you receive a Ngāpuhi Scholarship Award we would appreciate being able to utilise your scholarly
expertise in the future.
VISION
KIA TŪ TIKA AI TE WHARE TAPŪ O NGĀPUHI
That the sacred house of Ngāpuhi stand strong
MISSION
TO LEAD THE SPIRITUAL, CULTURAL, SOCIAL and ECONOMIC GROWTH
OF NGĀPUHI
Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2015
Page 2 of 8
PRE-UNIVERSITY ENTRY (CERTIFICATE or DIPLOMA)
2015 SCHOLARSHIP APPLICATION
SECTION 1 - APPLICANT DETAILS
FIRST NAMES
__________________________
SURNAME_________________________________
DATE OF BIRTH
__________________________
GENDER
Male
Female
Street
RESIDENTIAL
ADDRESS
Suburb/Town
City
Country
Post
Code
Country
Post
Code
Street/Post Box
POSTAL
ADDRESS
Suburb/Town
City
PHONE NUMBERS
_______________________/_____________________/__________________
HOME
MOBILE
OTHER
EMAIL ADDRESS_______________________________________________________________
NGĀPUHI REGISTRATION ID
_______________ (5 digit number)
MARAE
_________________________________________________
HAPŪ
_________________________________________________
TAKIWĀ
_________________________________________________
Applications will only be accepted from Registered Tribal Members.
To check if you are registered, PHONE 0800NGĀPUHI (0800 642 784).
BANK DETAILS – Please tick the box to confirm a verified deposit slip/receipt/statement is attached.
Attach Verified Bank Deposit /Bank Receipt or Bank Statement here or to your application
Hand written account numbers on deposit slips must be stamped/verified by your Bank
Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2015
Page 3 of 8
SECTION 2 – PREVIOUS NGĀPUHI SCHOLARSHIP APPLICATIONS
•
How many times have you applied for a Ngāpuhi Scholarship Award?
______
(If this is your first application, write 0 and continue to Section 3)
•
I have been successful __________ times.
Provide Details of Ngāpuhi Scholarship Funding Received
Year Received
Course of Study
Amount Received
$
$
$
SECTION 3: PAST STUDY & RESULTS
0
I have not studied in the last three years.
Please provide a brief explanation:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
0
I have studied in the last three years and attach the most recent results. (includes School Leavers)
Provide details and only copies of your most recent academic study results (NCEA results for School
Leavers)
Year
Qualification
Course Subject & Result –
Tertiary Institution
Attended Bachelor / Certificate /Diploma
Highest Mark first
Results are not attached because:
___________________________________________________________________________________
Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2015
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SECTION 4: CURRENT STUDY INFORMATION
a)
Name of Tertiary Institution/Wānanga
b)
What is the name of the course you are studying
c)
The degree you are studying is equivalent to how many years full-time study.
d)
What year of study are you about to undertake? e.g 1 year, 2
e)
What year will you complete your course of study? eg 2015
f)
I confirm that my course of study in 2015 is full-time study
g)
st
nd
Tick Box
To confirm
How will your course of study contribute to Te Rūnanga-Ā-Iwi-O-Ngāpuhi Strategic Plan?
(In no more than 100 words –complete this section on the next page provided or on a separate sheet with
your Registration ID at the top of the page and not your name)
SECTION 5: CURRENT ENROLMENT VALIDATION
0 Attach a copy of your fees invoice or receipt (Tick the box to confirm fees invoice/receipt is attached)
The following section must be completed by an authorised staff member from your educational institution to
confirm your enrolment is for full-time paid study for the tertiary academic year.
TERTIARY EDUCATION INSTITUTE - TO COMPLETE THIS SECTION
This is to
certify that
is enrolled as a full-time student
Full name of applicant
2015 Course Start Date & Finish Date
Full name of the course that the student is studying
At
for the
academic year
Name of the institute that the above-named is studying at.
Certifiers Signature
Certifiers Name (print)
Certifiers Title /
Position
Date
Educational Institution’s stamp / seal
Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2015
Page 5 of 8
NGĀPUHI REGISTRATION ID:___________
IMPORTANT – Your Registration Number is your identification, please do not write your name on this page
SECTION 4 continued..
g) How will my _________________________________________________(name of your course of study)
(eg. Certificate in Computing)
contribute to Te Rūnanga-Ā-Iwi-O-Ngāpuhi Strategic Plan? (No more than 100 words)
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
OR You can type your 100 words on a separate sheet – Please include your REGISTRATION ID : at the top
right corner of your page – and type the question (g) Do not write your name
Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2015
Page 6 of 8
SECTION 6: DECLARATION AND PRIVACY ACT 1993 AUTHORISATION
I consent to:
a) The disclosure of the personal information given on this form to recipients within Te Rūnanga-Ā-Iwi-ONgāpuhi, for purposes related to my application for a scholarship, including selection committees.
b) Te Rūnanga-Ā-Iwi-O-Ngāpuhi obtaining any information about me held by any institute which I have
attended, relating to my application for a scholarship in accordance with the Privacy Act 1993.
c) If successful, the publication of my name and details of any scholarship which I may be awarded,
together with any optional personal information which I may provide for this purpose.
d) If successful, provide a copy of my end of year academic results to the Rūnanga not later than March
the following year
.
e) If successful, contribute my scholarly abilities, if required, toward contributing to the betterment of all
Ngāpuhi through the Rūnanga
I understand and accept that Te Rūnanga-Ā-Iwi-O-Ngāpuhi’s decision is final and no correspondence will be
entered into.
I declare that the information contained in this application is true and factual.
Should you have reason to believe that information held about you in your application is incorrect, you have
the right of access to, and correction of, that information.
I agree to the above conditions in respect of this scholarship application.
Applicant Name:
Signed:
Date:
Before you send us your application please check each Section of your application and
tick the Application Checklist Tick boxes. Incomplete applications will be sent back to you.
APPLICANT CHECKLIST
SECTION 1 – Applicant details completed and NGĀPUHI Registration ID details
SECTION 1 – Bank verified Deposit Slip or Bank Receipt or Bank Statement attached
SECTION 2 – Previous Ngāpuhi Scholarship Applications information
SECTION 3 – Past study information & copies of most recent study results attached
SECTION 4 – Current study information including 100 words is attached
SECTION 5 – Current Enrolment Validation – Completed & signed by education provider
SECTION 6 – Declaration signed and dated
Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2015
Page 7 of 8
OFFICE USE ONLY
Date
Initial
Application complete & signed
Acknowledgement letter sent
Applicant entered on database
Applicant advised of outcome – letter sent
Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2015
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