Goal Setter Awards 2018

Top flight achiever? Drive to support others? Overcome obstacles?

In year 2 or more of tertiary study?

The Rotary Club of Port Nicholson Inc. invites applications from top-flight goal-setter achievers for its annual Goal Setter Awards.

If you are already in at least your second year of tertiary education, can show a history of goal-setting and goals achievement, while contributing service to others (individuals, groups or the community at large) and doing so while having to overcome significant barriers we urge you to apply for a Goal Setter Award 2018

$3500 cash award / Two or more award winners will personally receive their awards at anaward presentation function at the InterContinental Hotel, Wellington in March 2018.
Apply
by 1st December 2017 / Application forms are available from our web site:
or from your Course Information Centre, which provide details for the
submission of completed applications.
Applications close Friday 1st December 2017.
Eligibility / Eligible students are those who at the time of application are undertaking tertiary study inthe Wellington / Kapiti areas, towards completion of an undergraduate or post-graduatedegree, a National Certificate, or structured workplace learning for completing a ModernApprenticeship.
Please do not apply if your course of tertiary study only started in 2017 or has yet to start.
Selection is based on written submissions and an interview process for the top applicants which will beheld in Wellington on Wednesday 14 February 2018. There is no age limit for applicants. You must be available in person for an interview and to attend the celebration dinner.

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APPLICATION FORM

Please complete this application and email it to the Rotary Club of Port Nicholson Inc,

c/o Jane Paterson at as soon as possible but no later than Friday 1st December 2017as an attachment to a message entitled Goal Setter Awards.

Please note:

  • Do not send anything by ordinary mail.
  • Provide the information per the headings below.
  • You should, at the time of making this application, be in at least your second year of tertiary education.
  • Do not apply if your tertiary study only started in 2017 or has yet to start.

Part 1 Personal Details

  1. Surname/Family Name:Click here to enter text.
  1. Given Names:Click here to enter text.
  1. Birth Date:Click here to enter a date.
  1. Current address:Click here to enter text.
  1. Expected address in Jan/Feb/March 2018 or home address if different from item 4 above:

Click here to enter text.

  1. Phone contact:Click here to enter text.
  1. Email:Click here to enter text.
  1. Name your Programme of Study and Training Organisation or Tertiary Institution during 2017 Click here to enter text.
  1. The length of the programme is:Click here to enter text.
  1. Programme start date was:Click here to enter a date.
  1. Expected programme completion date is:Click here to enter a date.

Part 2 Your story

  1. What goals have you set and what have you achieved in your tertiary study so far ?

(state year, subjects, credits, grades):

Click here to enter text.

  1. Give details of any previous training organisations or tertiary institutions you have attended, and years of attendance:

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  1. What secondary school did you attend?
  1. List any awards won or scholarships achieved.
  1. What contribution have you made or are currently making to serve others – individuals, groups or the community at large? (Max. 200 words)

Click here to enter text.

  1. Significant challenges:List significant challenges that you have faced and actions you have taken to overcome them relevant to the goals you have set for yourself to date, relevant to your: (Max. 300 words)

17.1.Study programmes:

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17.2.Career:

Click here to enter text.

17.3.Personal challenges (health, family circumstances, accidents etc):

Click here to enter text.

  1. Plans for the future: What plans have you made towards the achievement of your goals relevant to your: (Max 300 words)

18.1.Study programme:

Click here to enter text.

18.2.Career

Click here to enter text.

18.3.Personal challenges

Click here to enter text.

  1. How does your goal-setter target setting, education achievements to date, service to others and challenges overcome make you a top-flight candidate? (Max. 200 words)

Click here to enter text.

  1. How would you use the award, if you were successful, towards achieving your goals and/or future plans? (Max 200 words)

Click here to enter text.

Part 3. Personal Disclaimer

By e-mailing this application I confirm that all information included in itis true and correct and I agree that relevant information about me, held by my Programme or Training Leader, can be used to support this application.

Click here to enter text.Click here to enter a date.

(Full name)(date of application)

N.B. Selected finalists will need to be available to attend interviews to be held in Wellington on Wednesday 14 February 2018 and award winners will need to be personally present to receive their awards at the Rotary Club of Port Nicholson Goal Setter presentation breakfast function to be held in Wellington onFriday 16 March 2018.

Selected finalists may be asked to furnish the name of a person willing and able to provide a reference that incorporates conformation of the finalist’s study programme and exam successes to date.