Te Tapuae o Rehua 15 Show Place PO Box CHRISTCHURCH

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Certificate in Farming (Dairy) (Level 3) Certificate in Agriculture (Sheep & Beef) (Level 3) Certificate in Organic Horticulture (Level 3) Scholarship Application 2016 Scholarship Objective Whenua Kura is a Ngāi Tahu led partnership between Te Tapuae o Rehua, Ngāi Tahu Farming and Lincoln University seeking to grow Māori leaders in agriculture. Whenua Kura seeks to support more Māori through their training into work on Ngāi Tahu farms and into higher levels of leadership. Please complete this form fully and accurately. You must complete all sections of the application and sign the Declaration of Accuracy. The information you provide will determine your eligibility for a Whenua Kura Scholarship. Please write directly on this application form Do not enclose original certificates or transcripts Additional information should be provided on appropriately numbered loose leave A4 paper Please do not put your application in any sort of folder. Simply attach all pages with ONE staple in the top left hand corner Applications should be forwarded to: Te Tapuae o Rehua 15 Show Place PO Box 13-046 CHRISTCHURCH For all enquiries please phone Letitia Goldsmith 021 2299601 or email Letitia.goldsmith@tetapuae.co.nz Office use only Yes No Accepted into Lincoln University Completed Scholarship form Attached all required documentation

The Whenua Kura Scholarships The Whenua Kura initiative is a collaborative Ngāi Tahu workforce and education strategy to build Māori capability within the agricultural sector in Canterbury. In April 2013 a Memorandum of Understanding was signed between Lincoln University, Te Tapuae o Rehua and Ngāi Tahu Property Ltd towards the common purpose of supporting the growth of education and employment opportunities for Ngāi Tahu and local Māori in Canterbury. Guidelines for Applicants Important Dates Applications for the Whenua Kura Scholarships open on 1 October and close on the 30 November 2015. Eligibility To be eligible for a Whenua Kura Scholarship you must: Identify as Maori Be accepted into Lincoln University Be participating in whānau, hapū or iwi activities Be displaying leadership qualities Complete the application form and attach all relevant information and supporting documents Assessment Criteria The Whenua Kura selection panel will consider applications according to the following criteria: The overall quality of applications Applicants leadership qualities Applicants explanations of why they want to pursue a career in farming How well the applicant interviews Assessment Process Whenua Kura partners will convene to select scholarships by early December A short list will be made, interviews will commence by mid-december Applicants will be advised of the outcome by 24 December 2015 External/internal assessment panel decisions are final - no correspondence will be entered into

1 Personal Information Ikoa/First Name Ikoa Whānau/Surname Ikoa Mātua/Ikoa Kaitiaki/ Parent(s)/Guardian(s) name(s) Waea pūkoro/mobile Phone Karere Hiko/Email Address Nama Waea (Kāika)/Phone (hm) Wāhi Noho/Postal Address Rā Whānau/Date of Birth Ira Takata/Gender: Tāne/Male Wahine/Female Iwi affiliations If Ngāi Tahu, Whakapapa Registration Number Please indicate your level of te reo Māori: Nil Beginner Intermediate Advanced (Please tick appropriate box) How did you hear about these scholarships? (please tick appropriate boxes) School Hui-ā-Iwi LSV MSD Te Pānui Rūnaka Rūnaka Other (please specify) Lincoln University Internet Ngāi Tahu Radio Tahu FM Radio Mai FM Te Karaka Whānau Please tick which scholarship you are applying for Certificate in Farming (Dairy) (Level 3) Delivered at Telford (Balclutha) and on Ngāi Tahu Farms (Eyrewell, North Canterbury) Certificate in Agriculture (Sheep & Beef) (Level 3) Delivered at Telford (Balclutha) Certificate in Organic Horticulture (Level 3) Delivered at Koukourarata and on Lincoln University Campus

2 Study Details Which Secondary School did you attend? Please fill in your most recent NCEA results in the box below if applicable Level Subject and year NCEA Credits Achievement Standard Excellence Merit Achieved Not Achieved Please attach your latest school report and, if applicable, a copy of your latest NCEA results Please attach an additional letter of support from a coach/teacher or kaumatua (please ask them to include their contact details) 3 Personal Insights Please provide answers to the following questions (attach additional paper if required): a. Please explain why you want to pursue a career in farming, including goals and aspirations for the future. b. Please explain how the Whenua Kura scholarship will help you reach your goals and aspirations.

c. Please give details of any previous farming experience you have. d. Please describe leadership roles you have taken part in (i.e. within your whānau, school, kapahaka group, community group or sports team)? 4 Whenua Kura Scholarship Evaluation To enable Te Tapuae o Rehua to effectively utilize funds it is important that the effectiveness of the Whenua Kura Scholarships is monitored. Therefore, please note that the progress of successful recipients will be monitored throughout 2016 and 2017. 5 Declaration of Accuracy a) I confirm that all of the information supplied in support of my application is accurate at the date of signing and the supporting documentation is enclosed b) I consent to this information being supplied to Whenua Kura and Te Tapuae o Rehua Shareholders. c) I consent to receiving electronic messages from Te Tapuae o Rehua. d) If I am a successful candidate: I agree that Te Tapuae o Rehua may use my personal details and photo to promote the Whenua Kura programme, Ngāi Tahu Farming Ltd and Lincoln University. If called upon I will participate in Te Tapuae o Rehua hui and/or wānanga in 2016. Your Signature Date