Scholarship and Grant Application Form - Papawai & Kaikokirikiri Trusts

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This field is for validation purposes and should be left unchanged.
Please specify the scholarship or grant you are applying for below*
- Secondary (Post primary) School Scholarship
- Leadership and Personal Development Scholarship
- Discretionary Fund Grant
This application form is intended to be read in conjunction with the OVERVIEW which outlines the criteria and important information.

SECTION B | PERSONAL STATEMENT
Personal Statement*
Please explain what you would like to achieve in this academic year and how receiving this scholarship may assist. You may comment on any aspect of academic study, sports, kapa haka, whānau or community involvement.

SECTION C | STUDENT’S PARENT/GUARDIAN/CAREGIVER’S DETAILS
Parent / Guardian Name(s)*
Address (if different from student's)
Street Address Address Line 2 City ZIP / Postal Code Country
Phone
Email

SECTION D | SECONDARY SCHOOL INFORMATION
Name of Secondary School*
National Student Number [NSN]
You can get this from the School Office or from NZQA.
Student is a:*
- Day Student
- Full-Time Boarding Student
- Part-Time Boarding Student
Student's year of study*
- 9
- 10
- 11
- 12
- 13
Enrolment verification is required; please have your secondary school confirm your enrolment with their school stamp or seal. (Enrolment confirmation letter and/or principal endorsement is also acceptable.)

SECTION E | ACADEMIC ABILITY AND ACADEMIC APTITUDE
Upload signed Academic Ability from School Principal, Dean or Teacher*
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 20 MB.

SECTION F | PROGRAMME/COURSE
Name of Programme/Course/Workshop:*
Start Date*
End Date*
Programme Costs*
Provide programme costs and if additional funding is required, how will this be sourced?

SECTION G | WAIRARAPA WHAKAPAPA FORM
Have you recieved a grant from Papawai and Kaikokirikiri trusts before?*
- Yes
- No
Please attach your completed Whakapapa Form
Accepted file types: pdf, docx, doc, Max. file size: 20 MB.
Year Funding Received
School attended

SECTION H | PRINCIPAL’S/DEAN’S/COUNSELLOR’S ENDORSEMENT
Please attach your completed Principal’s/Dean’s/Counsellor’s support of the application form
Accepted file types: pdf, docx, doc, Max. file size: 20 MB.

This is confidential and is required for the discretionary grant only
DECLARATION
- The information I have given is accurate and complete; I have read and understand the information about each section
- I understand that on receipt of the Secondary School Scholarship the grant is paid to the school and should I not complete the academic year then the school shall return any unused funds to the Trust
- I understand that if my application is incomplete it will not be considered
- I agree to support the Papawai & Kaikōkirikiri Trusts events
- I give my permission and agree to photographs taken of me at those events may be used to promote the Trust
- I understand that if I am awarded and accept a scholarship a letter to the Trust would be appreciated

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SECTION A | STUDENT DETAILS