2018 NGĀPUHI EDUCATION SCHOLARSHIP POST-GRADUATE DIPLOMA BUSINESS MANAGEMENT (MAORI DEVELOPMENT) APPLICATION FORM

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1 2018 NGĀPUHI EDUCATION SCHOLARSHIP POST-GRADUATE DIPLOMA BUSINESS MANAGEMENT (MAORI DEVELOPMENT) APPLICATION FORM Policy and Strategic Plan [Important information / Please read before completing your application] You are encouraged to read: the Ngāpuhi Scholarship Policy (version 2.0), for all important information relating to this Scholarship The Te Rūnanga-Ā-Iwi-O-Ngāpuhi Strategic Plan Both documents are available at Closing Date All completed applications must be received 5pm, Friday 31 March 2018 All sections of the application must be completed. Incomplete applications will be returned to the applicant Eligibility If you received a Scholarship last year, you are ineligible to apply this year. However, you may reapply next year if you have not reached the maximum number of scholarship awards, as per section 3.0 of the Ngāpuhi Education Scholarship Policy (version 2.0) You must be registered on the Ngāpuhi Iwi Register You must be studying full-time (tertiary education year) in 2018 at an approved tertiary education institution in New Zealand or overseas Course of New Zealand courses of study must be New Zealand Qualifications Authority (NZQA) or study equivalently approved. Overseas applications must meet comparable academic standards Withdraw If you withdraw from your course prior to receiving funding, you must notify Te Rūnanga-Āfrom study Iwi-O-Ngāpuhi. Failure to do so, may result in future applications being declined Copies only Provide only copies of documents requested. No part of your application will be returned Disbursement 12 x Post-Graduate Diploma Business Management (Māori Development), University of Auckland programme at $2, 500 each. What happens if your application is: Successful You will be notified in writing by 1 May, 2018 Monies will be paid into your bank account by direct credit by 1 May 2018 You may reapply in 2020, if you have not reached your maximum award allowance Unsuccessful You will be notified in writing by 1 May, 2018 You may reapply in 2019 We would appreciate the opportunity to share and celebrate your scholarship award and academic progress and other related activities in the future. Please indicate below: I would be willing to Present to or provide a copy of your dissertation and/or thesis to Te Rūnanga A Iwi O Ngāpuhi Present to schools/kura on your studies, dreams and aspirations Be an ambassador for Ngāpuhi and the Rūnanga to present to schools/kura on your studies, dreams and aspirations at events such as Takiwa hui, Ngapuhi Festival, Celebrations etc Provide a short written update on my progress, highlights and achievement during my studies, including photos, if relevant or Post your complete application, with all supporting documents, by 5 pm FRIDAY 31 MARCH 2018 to: Te Rūnanga-Ā-Iwi-O-Ngāpuhi / Attn: Scholarships / PO Box 263 / Kaikohe 0440 Freephone 0800 NGĀPUHI ( ) or / Web Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2016/17 Page 1 of 8

2 Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2018 Page 2 of 8

3 2018 NGĀPUHI EDUCATION SCHOLARSHIP POST-GRADUATE DIPLOMA BUSINESS MANAGEMENT (MAORI DEVELOPMENT) APPLICATION FORM SECTION 1 - APPLICANT DETAILS FIRST NAMES SURNAME DATE OF BIRTH GENDER Male Female POSTAL ADDRESS Street/Post Box Suburb/Town City Country Post Code PHONE NUMBERS / / HOME MOBILE OTHER 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 ( ). 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 2018 Page 3 of 8

4 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) Tertiary Institution Year Studied Qualification Cert/Bachelor /Masters/ Post Grad PHD Subject completed eg ACC101 Results attached (Tick) Results are not attached because: Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2018 Page 4 of 8

5 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 st year, 2 nd e) What year will you complete your course of study? eg 2018 f) I confirm that my course of study in 2018 is full-time study Tick Box To confirm g ) How will your course of study contribute to Te Rūnanga-Ā-Iwi-O-Ngāpuhi Strategic Plan? (No more than 100 words) h) How do you contribute to your hapū, marae, whānau? (No more than 100 words) (Complete questions g & h 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 Full name of applicant is enrolled as a full-time student 2018 Course Start Date & Finish Date Full name of the course that the student is studying At for the 2018 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 2018 Page 5 of 8

6 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 Master in Business) contribute to supporting the key strategic directions of Te Rūnanga-Ā-Iwi-O-Ngāpuhi: Communications and Identity Iwi Development Governance Natural Resource Management Whānau Ora Support Services Economic Development (No more than 100 words) h) How do you contribute to your hapū, marae, whānau? (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) and h) Do not write your name Te Rūnanga-Ā-Iwi-O-Ngāpuhi Scholarship Application Form 2018 Page 6 of 8

7 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-O-Ngāpuhi, 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 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 for Question g & h are 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 2018 Page 7 of 8

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 2018 Page 8 of 8

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