Murray Richards Bursary (296) Peter Densem Postgraduate Scholarship (1305) (PhD or Masters programme in Agriculture or Horticulture)

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1 Office Use Only Date received: Application ID: Acknowledged:. SURNAME:. Student ID Number. Please tick the boxes for those Applied Academic Programmes Postgraduate Scholarships you wish to apply: Bell-Booth Dairy Research Scholarship (997) C V Fife Memorial Scholarship (102) (Animal science research, preferably dairy calf nutrition) (Postgraduate in soil science) Catherine Baxter Postgraduate Scholarship (34) Charles Elgar Scholarship (93) (Postgraduate Dairy Science) Colin Holmes Dairy Scholarship (827) D G Bowler Scholarship (44) (Masters or PhD in dairy production) (Postgraduates studying soil water management) D J McGowan Scholarship (209) Farmers Union Scholarship (97) Garrick Latch Postgraduate Scholarship in Plant Pathology (1300) (Full-time PhD in Plant Pathology/Molecular Plant Pathology or related field) George Mason Sustainable Land Use Scholarship (1034) George Terry Memorial Scholarship (341) (PhD/Masters in sustainable land use) (Honours or postgrad dip in agriculture) Gosling Ornamental Horticulture Bursary (271) Helen E Akers PhD Scholarship (6) (Postgrads in ornamental horticulture) (Full-time PhD student) Helen E Akers Postgraduate Scholarship (7) Hurley Fraser Postgraduate Scholarship (147) (Full-time postgraduate student - not PhD) Janet Murray Scholarship (223) Johannes August Anderson PhD Scholarship (15) (Full-time PhD student) Johannes August Anderson Postgrad Scholarship (16) John Hodgson Pastoral Science Scholarship (277) (Full-time postgraduate student - not PhD) (Postgraduates in pastoral science or agronomy) Leonard Condell Farming Scholarship-PhD (71) Leonard Condell Farming Scholarship-P/G (70) (NZ PhD in farming) (NZ postgraduates in farming not PhD) Les Batkin Bursary (33) Lois Turnbull Postgrad Scholarship (1089) (Postgrad specialising in poultry) (Female NZ Ag/Hort Masters / PhD) MacMillan Brown Agricultural Research Scholarship (180) Millar Massey Buchanan Scholarship (193) (NZ PhD students who are Massey graduates) (Postgraduate in agriculture/horticulture) Murray Richards Bursary (296) Peter Densem Postgraduate Scholarship (1305) (Studying horticulture) (PhD or Masters programme in Agriculture or Horticulture) Peter During Agricultural Research Bursary (396) Pork Industry Scholarship (281) (Postgraduate in agriculture) (Postgraduate in pig husbandry, especially masters) Prof Ren Jizhou Scholarship (290) Ravensdown Agricultural Research Scholarship (983) (Chinese postgraduate students) (PhD/Masters Research, preferably in soil nutrient management) Seed Tech Services Scholarship (542) Sports Turf Bursary (324) (Postgraduate students in agricultural plants) (Postgraduate in turf culture) Sydney Campbell Postgraduate Scholarship (58) Taranaki Dairy Farmers Conference Scholarship (333) (Honours/postgrad dip in dairy farm production) Taranaki Tree Crops Association Scholarship (335) Tilt Renewables Tararua Wind Farm Research Bursary (772) (Tree crop research relevant to Taranaki) (Postgraduates researching energy or natural resource management) Turners & Growers Research Grant (350) Waitawhiti Memorial Scholarship (354) (Researching quality of fruit, vegetables, flowers) William Hudson Scholarship (145) William Milverton Scholarship (216) (Full-time post-graduates) (Honours or postgrad dip in agriculture) William Reed Scholarship (289) (Postgraduate originally from PNBHS)

2 College of Sciences APPLICATION FOR POSTGRADUATE SCHOLARSHIP, BURSARY OR AWARD IN APPLIED ACADEMIC PROGRAMMES SECTION 1 NAMES: (Family name underlined)... (Block letters) STUDENT IDENTITY NUMBER:... PLACE AND DATE OF BIRTH:... (Circle One Option) I AM A: NEW ZEALAND CITIZEN PERMANENT RESIDENT NEITHER HOME ADDRESS: TELEPHONE NO.... TERM ADDRESS: TELEPHONE NO.... * ... (Contact is by ) SECTION 2 UNIVERSITY PREVIOUSLY ATTENDED:... DEGREE(S) CONFERRED AND YEAR OF GRADUATION:... POSTGRADUATE DEGREE OR DIPLOMA FOR WHICH YOU ARE ENROLLED THIS YEAR: YEAR WHEN YOU FIRST ENROLLED FOR THIS DEGREE/DIPLOMA:... MONTH AND YEAR IN WHICH YOU INTEND TO COMPLETE:.... LIST THE IDENTIFYING NUMBERS OF THE PAPERS IN WHICH YOU ARE ENROLLED: NAMES OF SUPERVISORS (if applicable):... UNIVERSITY ACADEMIC RECORD: Please attach a copy of tertiary academic records undertaken at OTHER tertiary institutions, applicants are NOT required to supply their Massey University academic records SECTION 3 Supporting Statement Applicants must submit a supporting statement which includes: a) A statement showing how you feel that you meet the conditions and intentions of the awards sought, including whether you are a full-time student. Refer to the regulations of awards being sought to see what information is required. Information on your background and career aspirations is important for most awards. Failure to provide relevant information may jeopardize your application. b) If you are undertaking a research project, please give a brief outline of your research project (approx. half page) and the expected time to completion. If this changes completely after submitting this application, please contact Kerry Harrington immediately (K.Harrington@massey.ac.nz)

3 SECTION 4 HAVE YOU APPLIED FOR OR ARE YOU IN RECEIPT OF ANY UNIVERSITY OR RELATED FINANCIAL SUPPORT IN THE CURRENT YEAR, eg other bursaries or student allowances or support from industry? YES NO IF YES, PLEASE SPECIFY AMOUNT, SOURCE AND STATUS (ie applied for, or already received?): a)... b)... c)... SECTION 5 PLEASE PROVIDE A BRIEF BUDGET (fine detail not required) TO SHOW YOUR INCOME AND EXPENDITURE FOR THE YEAR. Income Expenditure Student Allowance $... Fees (if you pay these) $... Savings $... Living expenses $... Other (please specify) $... Other (please specify) $ SECTION 6 The above information is complete and correct. I understand and give my consent to Notes 2, 3, 4 and 5 below. Signature:... Date:... NOTES: 1. It is essential that you provide ALL the information requested otherwise your application will NOT be considered. 2. You may be asked by the Scholarships Committee for further information or be asked to attend an interview to discuss details in your application. 3. All information included in support of this application is confidential and only available to authorised University staff or funders involved in the selection process. 4. Acceptance of awards by students may be publicised. 5. The decision of the Scholarships Committee will be final and binding.

4 DISCLOSURE OF INFORMATION I,... consent to: (Please print name) (i) The disclosure of personal information given on this form to recipients within the University for purposes related to my application for a scholarship/bursary, and as required by protocols between the university and external agencies. These persons and agencies include those listed below: Academic staff of the department/institute/school in which I am studying (no financial information is made available to academic staff) Scholarships staff, members of scholarships committees and scholarships providers Senior administrators such as the Assistant Vice/Chancellor (Academic), Pro Vice- Chancellor, Academic Director and Administrators of the College in which I am studying New Zealand Vice-Chancellor s Committee, Scholarships Committee Other agencies where disclosure is required for the maintenance of law and order as defined in Principle 11 of the Privacy Act (ii) The Scholarships Office obtaining any personal information about me held by the following, for purposes related to my application for a Scholarship: Enrolment and Examinations staff Students Admissions and Records staff Student Financial Processing staff Academic staff of the department/institute/school in which I am studying Senior administrators such as the Assistant Vice-Chancellor (Academic), Pro Vice- Chancellor, Academic Director and Administrators of the College in which I am studying Other tertiary institutions to or from which I am transferring, or with which the university has a conjoint teaching arrangement (iii) Publication of my name, photograph and details of any scholarship which I am awarded. I also acknowledge and accept that personal references from the persons that I have named have been obtained on the strict understanding that they are confidential, and that I may not have access to those references without the written authorisation of the author. Scholarships/bursaries to which this Disclosure of Information document applies: All boxes ticked on coversheet Signed:... Date:...

5 Guidelines for Applied Academic Programmes Postgraduate Scholarships or Bursaries Completed applications must be returned to Dr Kerry Harrington by 5pm 10 March. Late applications will not be accepted. PREFERRED METHOD: Prepare the application single-sided, sign it, scan it, then the pdf file to: (hard copy is not required) OR Deliver single-sided hard copy to: The locked box outside AH 302 (Kerry Harrington s office) OR Post to: Dr Kerry Harrington School of Agriculture (PN 433) Massey University Private Bag Palmerston North 4442 Please read the regulations of the awards from which you are applying before completing this application form. Regulations can be found at Relevant information and proof of citizenship (if required) must be attached to the application form upon submission. Referees reports are not required but if the applicant wishes to submit a report it must be attached to the application at the time of submission. Referees reports will not be accepted separately from the application form. Please arrange and send your application in the following order: - Tick-box coversheet Completed and signed application form Supporting statement (you may write one generic statement to cover all scholarships you wish to apply for, but ensure you cover any specific points required in the regulations for each one) Other requested documents e.g. outline of research project (any others applicable to the scholarship/s you are applying for) References (if used) Other tertiary qualifications (you do NOT need to supply a copy of your Massey academic record) Please DO NOT double side any part of the application. If any of the information within your application changes between the time you submit your application and early May (eg address, course of study, topic for research project, success in another scholarship application etc), please communicate these changes directly to Dr Kerry Harrington by , K.Harrington@massey.ac.nz or phone To ensure you receive notification about the success of your application, please update any change of address by contacting Kerry Harrington. ALL applications are acknowledged, if you have not received an acknowledgment within 5 days of submission, please contact Kerry Harrington at K.Harrington@massey.ac.nz or ring him on