Pacific Allied (women’s) Council Inspires Faith in Ideals Concerning All – P.A.C.I.F.I.C.A. is a national non-profit community organisation that was founded in 1976 with a network of branches throughout the northern, central and southern regions of Aotearoa, New Zealand.
Since 2002 PACIFICA branches have been fundraising to build an education fund to provide educational grants to assist students with their educational development.
PACIFICA Inc is delighted to offer a tertiary education grant in 2014 to a Pacific woman from the Northern region (upper North Island) who, through changed circumstances, is currently undertaking tertiary education to improve her employment options.
PACIFICA Restart Tertiary Education Grant 2014Value / $1,500.00
Purpose of Grant / A study grant for a woman who, through a change in circumstances (e.g. career, family, redundancy), is undertaking tertiary education
Eligibility Criteria / Any woman of Pacific ethnicity who has lived in the Central North Island region for at least two years prior to application (* Please refer to attached map outlining the Northern Region)
Has New Zealand citizenship or Permanent Residency
Currently enrolled full-time in tertiary education
Change in circumstances need to be clear. (Note that this scholarship is not for a school leaver.)
The successful recipient will:
· be willing to be profiled for PACIFICA marketing purposes
· become an active local member of P.A.C.I.F.I.C.A.(if not already a member) for a minimum of two years.
· make a presentation to P.A.C.I.F.I.C.A., if required.
Process and Time-frame
Applications Open / 11 August 2014Applications Close / 12 September 2014, 5:00pm
Decision Made and applicants informed of outcome / By 6th October 2014
Scholarship payment made / By 31 October 2014 or when possible
Presentation by region VP / To be arranged and confirmed with recipient
The Selection panel will comprise the PACIFICA Regional Vice President and other branch members of PACIFICA with knowledge/experience in scholarship selections and/or the education sector.
Application forms can be downloaded from PACIFICA Inc website: www.pacifica.org.nz
For any queries, contact the PACIFICA Central Vice President, Jean Mitaera, at
The panel’s decisions are final and no further correspondence will be entered into with applicants.
Application deadline: 5:00pm, Friday 12th September.
Completed applications and supporting documentation can be:
emailed to:
Or posted to: PACIFICA Inc Restart Tertiary Education Grant,
P O Box 5668,
Lambton Quay, Wellington 6145
Your application will not be considered eligible if you do not complete the application form fully and provide all the requested documentation.
Application Form
Surname / Family NameFirst and Middle Names
Date of Birth
Address / (Postcode)
How long have you lived in the Northern region (Upper North Island)?
Telephone / (home) (mobile)
Email address
Country of Birth
If not NZ please tick appropriate box / NZ Citizen Permanent Resident
(Please provide a certified copy of passport or proof of NZ residency)
Ethnicity:
Which Pacific Island group(s) do you identify with? / Samoa Tokelau Cook Islands
Niue Tonga Tuvalu
Fiji Tahiti Kiribati
Other (specify)
Which Tertiary Education Institution are you currently enrolled full-time in? / ______
Name of Institution
Address:
Town/City: Postcode:
What education qualification(s) are you working towards? / Title of qualification(s):
Major(s) or specialisation(s):
What Year/Level are you in?
When do you expect to graduate?
Please tell us what change(s) in your personal circumstances prompted you to undertake tertiary study.
(no more than 500 words)
How will this grant contribute toward your educational success?
(no more than 1000 words)
I acknowledge that:
· The information I have provided in this application is true and correct.
· The personal information provided in this application is collected and held by P.A.C.I.F.I.C.A. Incorporated.
· The information is used for the purpose of administering and assessing the application. People who have direct access to the information are members of P.A.C.I.F.I.C.A. National Executive and the Grants Selection Panel.
· My name will appear in P.A.C.I.F.I.C.A. Inc reports and publicity material, where appropriate.
· I have the right under the Privacy Act 1993 to obtain and request correction of any personal information held by P.A.C.I.F.I.C.A. Inc.
Please sign here or type in your full name:
I agree to:
· providing a written report of my education progress and study opportunities, when required.
· be profiled for PACIFICA marketing purposes
· make a presentation to P.A.C.I.F.I.C.A., if required.
· becoming an active local member of P.A.C.I.F.I.C.A.(if not already a member) for a minimum of two years.
Please sign here or type in your full name:
Before sending in your application, please ensure you have provided the following:
Tick / Documentation (Certified Copy – needs to be signed by a Justice of the Peace, Lawyer or anyone authorised to certify documents)Application Form completed fully
Certified copy of birth certificate
If not born in New Zealand: Certified copy of New Zealand passport or certified proof of NZ residency
Confirmation of current enrolment at a tertiary education institution
Current curriculum vitae
Two written references (with referee contact details)
Signed Privacy Statement
PLEASE Remember – incomplete applications will not be eligible for selection!
Application deadline: 5:00pm, Friday 12 September.
Completed applications and supporting documentation can be:
emailed to:
Or posted to: PACIFICA Inc Restart Tertiary Education Grant,
P O Box 5668,
Lambton Quay, Wellington 6145
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PACIFICA/Central/Tertiary Education Grant/2014