Eligibility for all Scholarships:

Applicants must be a registered member of the Rongowhakaata Iwi Trust.


SECTION 1: PERSONAL INFORMATION
Postal Address:
First Names:
Surname: / Post Code
Date of Birth: / Residential Address
Occupation:
Phone (wk):
Phone (hm):
Mobile: / Date of Birth
Fax: / Email
Gender: / Male / Female

SECTION 2: STUDY DETAILS

Is this your first year of tertiary study? YES / NO (Circle One)

(If NO please attach proof of previous years study; e.g. academic transcript).

What is your highest level of study to date?

(Please attach a copy of your most recent academic results)

Are you studying: FULL TIME / PART TIME? (Circle One)

What is the full title of your intended qualification?

(e.g., Bachelor of Arts, Certificate in Carpentry)

What is your major? (If applicable)

In what year will you complete your qualification?

With which education provider are you currently enrolled?

(Please have the enclosed Proof of Enrolment form completed and certified/ stamped by your education provider)

What are your tuition fees?

SECTION 3: IWI PARTICIPATION & STATEMENT OF TAUTOKO

  1. On a separate page please outline your participation in Rongowhakaata iwi.
  2. Please also submit how you think your intended study program can benefit Rongowhakaata in the future.

SECTION 4: OTHER ACHIEVEMENTS

On a separate page please list any other achievements (i.e. sporting, cultural)

SECTION 5: PRESENTATION

The vision for Rongowhakaata Iwi Trust is: “Kia tu rangatira ai a Rongowhakaata”. In 250 words, describe what you think this statement means to you and how you encompass this statement in your work, schooling and life. Some of these descriptions may be reproduced in iwi publications.

Scholarship recipients will also be asked to supply a presentation (this may be in the form of poetry, artwork, written essay) on an area of study that may be of benefit to the marae, hapū or iwi.

RECIPROCAL OBLIGATIONS:

Scholarship winners will be expected to reciprocate through a presentation of some description. General or Targeted scholarship recipients may be asked to link back, where possible, to his/her marae and/or to undertake project work for Rongowhakaata iwi trust.

Declaration

•I consent to Rongowhakaata Iwi Trust seeking further information from 3rd parties to assist in processing this application.

•I certify that all information supplied in this application is true and correct.

•I consent to this information being made available to Rongowhakaata Iwi Trust for statistical purposes.

•I consent to making myself available for participation in Rongowhakaata Iwi Trust or other iwi endorsed programmes.

•I consent to information contained in this application, including my presentation and/or photo, being used for tribal publications.

•I give consent to Rongowhakaata Iwi Trust to maintain a permanent record of my presentation on file.

•I understand that this application form maybe destroyed once the application process is complete.

•I consent to receiving electronic messages in relation to this application from Rongowhakaata Iwi Trust and associated entities.