<p> Raglan Community Arts Council Scholarship Policy Guidelines and Criteria ______</p><p>1 The award is to encourage and assist Year 13 students undertaking tertiary study in visual arts.</p><p>2 The scholarship may be awarded for any of the following arts, but not limited to: Design Multi-media Raranga Ceramic Art Photography Graphic arts Painting Whakairo Moving image</p><p>3 The Raglan Community Arts Council will award one Art Scholarship for the amount of $1,000.00. The scholarship can be held for one year only.</p><p>4 In awarding the scholarship the Raglan Community Arts Council will take into account the commitment of the individual, the potential benefits to the individual from the study as well as the potential benefits to the community.</p><p>5 The applicant, or if dependent the applicant’s parent/s or caregiver/s must currently reside in the designated Raglan Whaingaroa area of the Raglan Community Arts Council.</p><p>6 Shortlisted applicants will be interviewed</p><p>7 As a condition of accepting the scholarship, the recipient is required to participate in the next Raglan Festival of Arts.</p><p> Closing date for applications Monday 7 December 2009</p><p> Shortlisted applicants will be notified to attend an interview before December 20th 2009 </p><p>All enquiries: Ruth Port 07 825 7267 Jacqueline Anderson 07 825 0023 Raglan Community Arts Council Application Form</p><p>1. Applicant’s full name:</p><p>First Name……………………………………………………..</p><p>Surname………………………………………………………….</p><p>Date of Birth………………………………. Age:………………….</p><p>Iwi affiliations (if applicable)…………………………………………………</p><p>Present address:……………………………………………………… …………………………………………………………………………………</p><p>Phone Number/s…………………………………………………………..</p><p>2. Parent/s/Caregiver/s/Full Name/s (if applicant dependent)</p><p>First Name/s Surname/s ………………………………………………………………………………… ….……………………………………………………………………………..</p><p>3. Parent/s/Caregiver/s present address</p><p>………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………..………………..</p><p>4. Length of time you have resided in the Whaingaroa area (state residential address for the previous two years if different from above) ……………………………………………………………………………… ………………………………………………………………………………</p><p>5. Highest academic/technical qualification – with grades: ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………… …………………………………………………………………………………. Secondary school/tertiary instituted attended: ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………… 6. Have you applied for other assistance? Yes/No If Yes, please give details ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………….</p><p>7. Full details of study/course/programme: ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………….</p><p>8 Please state why the Raglan Community Arts Council should provide you with a scholarship. (Use separate sheet if preferred): ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………… …………………………………………………………………………………. …………………………………………………………………………………. ………………………………………………………………………………….</p><p>9. Community Involvement: Please state your present community involvement in the Arts within the Whaingaroa area and any future commitment or assistance you may envisage in developing Arts in the District as a result of the your study: ………………………………………………………………………………… ………………………………………………………………………………… …………………………………………………………………………………. ………………………………………………………………………………… ………………………………………………………………………………….</p><p>………………………………………………………………………………… ………………………………………………………………………………….</p><p>10 Where appropriate, applicants are required to provide a sample of their ‘art work’ when submitting an application. ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………… 11 Two persons from whom testimonials are attached Name………………………………………………………………………… Address……………………………………………………………………… Occupation:…………………………………………………………………..</p><p>Name………………………………………………………………………… Address……………………………………………………………………… Occupation:…………………………………………………………………..</p><p>Please return this form when completed to: Raglan Community Arts Council PO Box 91, Raglan 3265</p><p>Or deliver to Raglan Community Arts Council Mondays and Wednesdays 10.00am – 2.00pm Old School Arts Centre Stewart St, Raglan </p><p>Enquiries: Ruth Port 07 825 7267 Jacqueline Anderson 07 825 0023</p><p>Applicants will be shortlisted and then notified for an interview if required.</p><p>Closing date for applications Monday 7th December 2009 No late applications will be considered</p>