Name: 2017 MĀORI EDUCATION TRUST Tēnā koe e tono nei mō Ngā Karahipi Māori Tēnā hoki koe e whai i te huarahi mātauranga hei hāpai i a koe, to whānau, to iwi, otirā, te ao Māori. He huarahi tēnei

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Name: 2017 MĀORI EDUCATION TRUST Tēnā koe e tono nei mō Ngā Karahipi Māori Tēnā hoki koe e whai i te huarahi mātauranga hei hāpai i a koe, to whānau, to iwi, otirā, te ao Māori. He huarahi tēnei i whakaritea e ō mātua tīpuna, kia riro i a koe ngā kete e toru o te wānanga. Nō reira, tihei mauriora. The scholarship programme comprises a range of scholarships for Māori secondary and tertiary students. The purpose of the scholarship programme is to provide support for Māori students to pursue and achieve success in programmes of study and training ROSE HELLABY POSTGRADUATE SCHOLARSHIP Rose Hellaby, visionary and benefactor, born 1883 and died aged 91 in In 1969 Rose established the Maori Education Fund with New Zealand Guardian Trust (now Perpetual Guardian) to provide education opportunities for Māori children and young adults. The objective of the Rose Hellaby Postgraduate scholarship is to encourage Māori students expand their horizons by pursuing higher education to reach their full potential in their chosen field of study. The scholarships are aimed towards developing today s students into tomorrow s leaders thereby benefitting their Whanau / Iwi and the wider community. ELIGIBILITY Applicants must: i. be of New Zealand Māori descent; ii. be enrolled at a tertiary institute at the time the application is submitted; iii. meet the criteria for the scholarship; iv. submit the application and supporting documentation on time. Previous recipients cannot reapply for a Rose Hellaby Postgraduate Scholarship. CRITERIA These prestigious scholarships are available to Māori students with a record of proven academic excellence, undertaking Masters or PhD postgraduate study in the fields of engineering, mathematics, science, technology or medicine. Study can be carried out in New Zealand or overseas. As this is a form of recurring scholarship, conditions will be placed on the award. Conditions will include the annual submission of academic results, annual progress reports from the successful recipient and supervisor or Head of Department, and a signed contract which will include these conditions and a refund policy should study cease. As part of the selection process, interviews will be conducted by the Judging Panel. The Rose Hellaby Postgraduate Scholarships funds are administered by Perpetual Guardian. As such, a representative of Perpetual Guardian may be included in the selection of scholarship recipients. Page 1 VALUE: Up to $30,000 No. of recipients: 2 IMPORTANT INFORMATION 1. Incomplete or late applications will not be considered. 2. Additional Information including missing or corrected information, must reach the Māori Education Trust by the closing date. Late information will not be accepted. 3. The Māori Education Trust does not accept any responsibility for lost or delayed application packages caused by incorrect mailing instructions or delays in delivery. 4. You must advise the Māori Education Trust of any changes to your application. All changes must be advised in writing ( and post are acceptable). 5. Please do not staple your papers together; use a paper clip or place in a plastic sleeve. 6. All applicants (successful and unsuccessful) will be notified in writing within three months after the scholarship closing date. CLOSING DATE Applications close at 4.30 pm, Friday, 31 Poutū-te-rangi (March) Postal Address: Māori Education Trust P O Box LOWER HUTT 5040 Phone: (04) Page 2 (Please print clearly) PERSONAL DETAILS Surname First Name Middle Name(s) Gender Date of Birth / / Address Suburb / RD Number Town / City Postcode Home Phone (0 ) Daytime Contact / Mobile (0 ) Address (Tertiary) Address (Personal) PRIMARY RESIDENTIAL ADDRESS (if different from above): Address Suburb / RD Number Town / City Postcode BANK ACCOUNT DETAILS a) NZ Bank Account Number: - Bank Branch Account number Suffix b) Name of Account Holder: NOTE: Please provide an encoded bank deposit slip or bank verification of your bank account number. Page 3 PHOTO Please attach a recent passport size photograph. KOROWAI MĀORI Iwi Hapu Marae WHAKAPAPA Please complete this section of your whakapapa: Grandfather Grandmother Grandfather Grandmother Father Mother Applicant Page 4 Whakapapa certification You must have your whakapapa confirmed by a Kaumātua. (Iwi registration letter is also acceptable.) Certifier s name: Certifier s signature: Certifier s phone number: TE REO MĀORI He mea nui te reo Māori ki a mātou o Toitū Kaupapa Māori Mātauranga. Tena tohua mai ngā āhuatanga hei whakarite i to aroha ki te reo: a) Kei te hiahia au ki te ako i te reo Māori: Ae Kao b) Kei te ako au i te reo Māori: Ae Kao c) Kei te āhua mōhio au i te reo Māori: Ae Kao d) Kei te matatau au i te reo Māori: Ae Kao e) I tipu ake au i te reo Māori: Ae Kao f) Kei te kōrerotia te reo ia rā, ia rā: Ae Kao g) Ka tuhia aku mahi whakamātautau i te reo Māori: Ae Kao Page 5 PERSONAL STATEMENT In words, please complete the following: I believe I will be successful this year because... Page 6 SCHOLARSHIPS Please indicate if you have received a Māori Education Trust scholarship in the past (please tick or circle). N / A Secondary Scholarship Undergraduate Scholarship Postgraduate Scholarship I have applied for or am receiving another grant or scholarship (please tick or circle). Yes No If yes, what is the grant or scholarship? Name: Value: INTENDED POSTGRADUATE STUDY Student ID Number (ENROLpro): Student NSI Number (NZQA): Name of your tertiary institution: Intended programme of study: Masters Degree in Doctorate in Major subject/s: Degree length full-time (circle): 3 Years 4 Years Other Year of study in 2017 (circle): 1 st 2 nd 3 rd 4 th 5 th Other My programme of study is (circle): Full-time Part-time Page 7 ENROLMENT CONFIRMATION You must have your tertiary institute complete the following. (Enrolment confirmation letter is also acceptable.) a) Name of Tertiary Institution: b) Institution Contact Details: c) Website / Phone Number: Address: d) Course Start Date: / / Course End Date: / / e) Institution s stamp or seal: Tertiary institute s stamp f) Certifier s name: g) Certifier s signature: h) Certifier s phone number: Page 8 FINANCES Please complete the budget below as accurately as possible, ensure amounts are based on annual figures. NOTE: Do not include a student loan as income. Expected annual income for 2017 (Do not include student loan) Student allowance Expected annual expenses for 2017 University fees Personal savings Accommodation (rent) Earnings (wages) Meals Parental support Phone, power, etc Scholarships/bursaries Study costs Other (please itemise below) Transport Insurance Entertainment Other (please itemise below) Total Total Other Income Other Expenses If your application is unsuccessful, how will you fund your studies? Page 9 CRITERIA Please complete the following: a) I am studying towards a: Masters Degree PhD b) I am undertaking postgraduate study in: Engineering Mathematics Science Technology Medicine c) I have attached a copy of my academic invoice and / or evidence that shows all course related costs for 2017: Yes No d) List completed undergraduate and postgraduate study in New Zealand and overseas, and attach certified copies of transcripts: Degree or Professional Qualification Institution Place and Country From Years Attended To e) List any distinctions currently held: f) List any of your works which have been published: Page 10 CRITERIA (cont d) g) I have attached an essay (minimum of 500 words) on the indicated theme: I aspire to inspire by...; or A leader I would most like to emulate is...; or My course of study will benefit my whanau, hapu, iwi and community... h) Describe a situation/s where you served as a leader during a group project (kapa haka, sports, class assignment, etc), whanau activity, or a community service project. Explain your role and how individuals responded to your leadership. Page 11 CRITERIA (cont d) i) Provide the names and addresses of the two persons whom you have each asked to forward a confidential reference to the Māori Education Trust. NB: It is your responsibility to ensure references are submitted and received by the Māori Education Trust by the due date. In the past, applications have not been considered due to references not being received. 1. Reference: Involvement and commitment toward iwi, hapu, marae and tikanga Māori. You must submit a reference from a Kaumātua, leader of a Māori community group (e.g. marae, kapa haka group, etc) or authorised person of a Māori Authority, Rūnanga or Trust Board that comments on the involvement and commitment you show towards your iwi, hapū or marae and tikanga Māori. Name of Referee: Address: Phone: 2. Academic Reference The academic referee must be your proposed supervisor or the Head of Department of your host Department. They are required to evaluate your ability to complete postgraduate studies. Name of Academic Referee: Address: Phone: Page 12 DECLARATION Please read each statement and tick the box next to it if the statement is true; sign and date the form. If you cannot truthfully make each statement, you should not submit an application. All the information I have given in this application is accurate and complete. I am of New Zealand Māori descent. I am studying full-time. I have read and understood the information about each section of this application form. I understand that if I accept a scholarship and do not complete my study, I may be required to repay the scholarship. I understand that if my application is incomplete it will not be considered. If I am a successful recipient, I agree that my award and personal details may be used by the Māori Education Trust or Perpetual Guardian (which administers the Rose Hellaby estate) to promote the Rose Hellaby Postgraduate Scholarship. If I am a successful recipient, I understand my details may be shared with the Ministry of Education. I am aware I may receive a call during or after the term of my scholarship as part of the Ministry of Education s verification process. If I am scholarship recipient, I will forward a letter of thanks to Perpetual Guardian care of the Māori Education Trust. I will provide the Māori Education Trust with my academic transcript, copy of my degree, or annual progress report from my supervisor or Head of Department, at the end of the year. I have attached: An encoded bank deposit slip or bank verification of my bank account number. A recent passport size photograph. A certified copy of my academic transcripts. A copy of my academic invoice or evidence that shows all course related costs for A copy of my Curriculum Vitae. Name: Signature: Date: / / Page 13 ACKNOWLEDGEMENT OF RECEIPT Complete if you would like confirmation that your application for the Rose Hellaby Postgraduate Scholarship has been received. Your name: Date Sent (office) Your address: Page 14
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