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Canterbury Earthquake Scholarships

INFORMATION FOR STUDENTS APPLICATION FORM

Please read this information carefully before completing the Your school will complete their part of your application and Application Form. If you have questions or need help, talk with send it to the Ministry of Education. Your school will let you a teacher you know well. know that your application has been sent. By the end of the year you’ll get an email from the Ministry confirming that your application has been received, and you’ll be told the results in Who is the scholarship for? January 2012.

Current Year 13 Canterbury students who are planning to enter How will my application be assessed? tertiary study next year, but who are experiencing personal Your school will review your application and consider it in hardship because of the Canterbury earthquakes. relation to other students’ experiences of personal hardship at (Personal hardship can be a range of things: it can be change in your school. They will send their assessment on to the Ministry family or whänau circumstances, your living conditions or your of Education. The Ministry’s scholarship selection panel will own well-being. For this scholarship, personal hardship is not consider your personal statement, your school’s assessment, only about financial hardship). information provided by your nominated support person, and the circumstances of your school and community when You must have been attending a secondary school in assessing your application. , Waimakariri or Selwyn for 2011, in order to apply. See the list of eligible schools. Can I apply for other Scholarships and for a Student You must be a New Zealand citizen, have held permanent Loan or Allowance? residence for at least two years, or hold refugee status. If you apply for a Canterbury Earthquake Scholarship, you can also apply for a Student Loan or Allowance, and for any other How much is the scholarship worth? financial scholarship or grant except a TeachNZ scholarship (a $2,000 per year for up to three years of tertiary study. Ministry of Education scholarship for teacher training). Payments will be made as annual lump sums, with the first payment made in March 2012. Can I apply for a Canterbury Earthquake Scholarship You must pass at least half of your courses each year to get the in future years? next payment of this Scholarship. No. This Scholarship is only available to students in Year 13 in 2011. What tertiary courses can I study? List of eligible schools You can study at any tertiary institution, anywhere in New Zealand. Your course must be: Christian School • for an NZQA-approved qualification of Level 4 or higher, and Akaroa Area School Marian College • at least one academic year in length. High School Avonside Girls’ High School Oxford Area School How do I apply? The application form is attached. Please make sure you Rangi Ruru Girls’ School complete: Catholic Cathedral College • Your name and contact details, including a contact address Christ’s College for January 2012 Christchurch Adventist School Christchurch Boys’ High School Rudolf Steiner School (Christchurch) • Your school Christchurch Girls’ High School Shirley Boys’ High School • Your plans for tertiary study Darfield High School St Andrew’s College (Christchurch) • A personal statement about your circumstances and why Ellesmere College St Bedes College your plans for tertiary study have been affected by personal Hagley Community College St Margaret’s College hardship as a result of the earthquakes. This statement can Hillmorton High School St Thomas of Canterbury College be up to 300 words long, and can be handwritten or typed Hillview Christian School Te Aho O Te Kura Pounamu – The and stapled on Correspondence School • The student declaration in which you nominate a person TKKM o Te Whänau Tahi (not a relative or teacher) to support your application. Karanga Mai Young Parents College TKKM o Waitaha Return your completed application to the teacher who is Kimihia Parents’ College Unlimited Paenga Tawhiti Villa Maria College helping you with your application by Monday 7 November 2011. Lincoln High School

4 Canterbury Earthquake Scholarships

INFORMATION FOR STUDENTS APPLICATION FORM

Important dates (Please see back page for more information.)

7 November – Students return your completed application to the teacher who is helping you 28 November – Last day for the Ministry to receive applications January 2012 – Students informed of results March 2012 – First $2,000 scholarship payment Name and contact details

State your name as it appears on your birth certificate. First name(s): Middle name(s): Surname:

Date of birth: Email address:

/ /

Contact address in January 2012 (same address for your NZQA results):

Alternate address:

Phone number: Mobile number: ( ) ( )

School and study plans

Name of current school:

National student number:

I intend to study: (name of qualification)

at: (name of institution)

1 Student statement

Explain in your own words how your earthquake-related experiences have changed your personal circumstances, affected your year 13 study and your plans for tertiary study. Write your statement below or staple it to the form (Maximum 300 words).

2 Student and support person declaration School confirmation

I agree that, for the purposes of this scholarship, my I confirm that (name of student) information can be shared between my school, NZQA, my tertiary education provider, and the Ministry of Education. I nominate the following person in my community to is eligible for the Canterbury Earthquake Scholarship, and support my application (not a relative or teacher). that he/she:

Name: is a Year 13 student in 2011

met school attendance requirements in 2011

is a New Zealand Citizen, or permanent resident for at least two Address: years, or holds refugee status

is expected to achieve Level 3 NCEA and study successfully at tertiary level

has provided accurate information in the statement above.

Name: (school staff member)

Phone: Mobile: Title: ( ) ( )

Email: Signed:

I agree that, for the purposes of this scholarship, the Date: Ministry of Education may contact the person named above / / for information to support my application. Signed (Student): School endorsement

Date: I endorse this application on behalf of

/ / School name:

Name (please print):

Signed:

Title (Principal / Deputy Principal / Associate Principal):

Assessment: Date:

/ /

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