SCOTS COLLEGE MIDDLE SCHOOL SCHOLARSHIP APPLICATION

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SCOTS COLLEGE MIDDLE SCHOOL SCHOLARSHIP APPLICATION Our Scholarships for entry into Year 7 or Year 8 are for external candidates only in the area of sporting excellence. Please ensure you have attached any required documentation and read the requirements of the scholarship. This information is located in the appendices of this document. Applications close on Friday 30 October 2015

YEAR 7 & 8 SPORT SCHOLARSHIPS FOR 2016 Middle School Application Form A. PERSONAL DETAILS (please print in block letters) Surname: Given Names: Date of Birth: Current School: Place of birth:. Current year: Ethnic origin: Address:... Telephone no: Father s name Mother s name............ Mr or title first name other initials surname Mrs or title first name other initials surname Address:... Address:....................... Home telephone no:... Home telephone no: Business telephone no. Business telephone no. Business name & address Business name & address Mobile: Mobile: Fax no.: Fax no.: E-mail address: E-mail address: Occupation:... Occupation:... (if you could be reasonably specific on occupation that would be helpful for our records)

List other schools attended: Name of school Years attended B. SPORTING ACHIEVEMENTS i. Which sport is the candidate primarily able in? eg football, swimming, hockey etc. ii. What level has the candidate reached in this sport? eg Representative-Honors, local, regional, national ii. Is the candidate involved in other sports? If so, what are they and to what level? iv. Which team(s) is he currently involved with? What is his role within the team and how long has he been involved? v. What other team(s) has he been involved with in the past? vi. In which areas would he like to contribute to sport at Scots College? Other information which would support this application: (please use an extra sheet, if necessary)

C. CANDIDATE GENERAL ACHIEVEMENT List school positions held and other activities that are of interest to your son: Positions of responsibility: (Leadership roles) Other School Activities: a) Music/Cultural b) Service c) Other Extra-curricular involvement: a) Music/Cultural b) Service c) Other Cultural Achievements: (please state year awarded) Academic Prizes and/or Citizenship Awards received: (please state year awarded) Other information which would support this application: (please use an extra sheet, if necessary)

D. Referee Details: Please attach a written reference from a relevant coach, sports mentor or convener. Please name one referee, other than a member of your family or your son s present Principal, who could be approached in the event of your son being considered for a scholarship. Name of Referee: Referee s Address: Occupation of Referee: Please attach to your application copies of any school report received in the last twelve months. E. Declaration of Intent (to be completed by the parent or guardian of the candidate) I have read the description of the conditions and regulations of the Scots College Scholarships and agree to abide by them. I, declare that I would like (full name of candidate) to attend Scots College. This form must be completed and returned by Friday 30 October, 2015 to Sharon Brown, Personal Assistant to Matt Allen, Principal Middle School, Scots College, Box 15-064, Miramar, Wellington 6243 or brownsh@scotscollege.school.nz

MIDDLE SCHOOL SPORTS SCHOLARSHIPS FOR BOYS ENTERING YEAR 7 & 8 2016 The Board of Governors is offering scholarships to boys entering Year 7 or 8 of the Middle School. The value of the scholarships is a proportion of the tuition fee for Years 7 and 8 with no candidate receiving less than one-third fees. The tenure of the Scholarship is closely monitored, with a full review at the end of each academic year. Should a boy not be committing himself properly to his studies, the scholarship could be withdrawn. Candidates for the following scholarships must be external candidates currently in Year 6 or 7. On receipt of the application form, the candidate s present Principal may be asked to provide a confidential report to the Principal of Scots College Middle School. Conditions and Regulations of Scholarships 1. Scholarships are tenable for one to two years depending on entry level and provided the Principal of the Middle School is able to give a satisfactory report to the Headmaster and Board at regular intervals of the character, diligence and progress of the scholar. In the case of an unsatisfactory report the scholarship could be terminated. 2. The Board reserves the right not to award any or all of the scholarships offered if the candidates do not reach the required standard. 3. Successful candidates will be required to conform to the curriculum and rules of Scots College. 4. Scots College is a Presbyterian Church School and a successful candidate is expected to participate fully and willingly in the Christian aspect of its curriculum.