NGAI TUKAIRANGI TRUST. TERTIARY EDUCATION GRANT APPLICATION FORM FOR 2019 (Please tick which apply)

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1 NGAI TUKAIRANGI TRUST TERTIARY EDUCATION GRANT APPLICATION FORM FOR 2019 (Please tick which apply) I am applying for the Tertiary Education Grant I am applying for the Tongakaiwhare Tony Gear Scholarship of Excellence 2019 (See page 10 for details) Please note that students that qualify for the 2019 fees free programme are not eligible to apply Closing Date: 31 March 2019 Applications must be received by the closing date as late applications will not be considered. Please answer ALL sections, Incomplete applications will not be considered Please send completed application and relevant documents to The Secretary Ngai Tukairangi Trust PO Box Bayfair Mt Maunganui 3152 or to grants@ngaituk.co.nz Please note if you are ing your application, it must be sent as ONE pdf file attachment 2019 Ngai Tukairangi Trust 1

2 GENERAL INFORMATION TO APPLICANTS PURPOSE: To improve the collective skill set of Ngai Tukairangi people through the pursuit and the completion of tertiary qualifications. SUBJECT: General, although preference may be given to horticultural and trade studies. QUALIFICATION: NUMBER AWARDED: DURATION: Must be studying Diploma, Trade Certification, Bachelors Degree, Masters Degree, Doctoral Degree or a specialist area of study. Not specified, dependent on number of applicants. Yearly Applicants may re-apply for the periods; Trade Certificates (1 year per certificate), Diploma (3 years maximum), Bachelors (3-5 years maximum depending on type of degree), Masters (2 years maximum), Doctorate (4 years maximum) or Specialist area of study, (1-3 years dependent on area of study). VALUE GRANTS: Tertiary Education Grant: Variable up to $3,000 Tertiary Excellence Scholarship: $5,000 Successful applicant will not receive either of the Tertiary Grants (Business, Science or Culture), nor the Tertiary Education Grant. PLACE OF STUDY: WHO SHOULD APPLY: Any approved Tertiary Institution Ngai Tukairangi Trust Beneficiaries, and/or their Child, Grandchild, Great Grandchild or Great Great Grandchild. CLOSING DATE: 31st March 2019 CRITERIA: Eligible Applicant Full Time Study Academic Performance Suitable qualification Community, whanau, hapu and iwi involvement Career and Future aspirations 2019 Ngai Tukairangi Trust 2

3 A: PERSONAL DETAILS: Surname First Names Gender Male / Female Date of Birth Address Phone Mobile Bank A/c No: (Please attach deposit slip, or letter from bank as verification) B: WHAKAPAPA (Please ensure the whakapapa is completed as evidence that you are a descendant of an owner, as listed in the Ngai Tukairangi Trust Shareholder database). PLEASE PUT FULL NAMES Great Grand Parent Grand Parent Birth Parent Your Name Relationship to Owner in Ngai Tukairangi Trust: (If you are not listed as an owner, you must also complete the certificate of relationship to owner) I VERIFY THAT THIS WHAKAPAPA AS OUTLINED IS CORRECT Name: Signed: (Owner / Kaumatua or Kuia) 2019 Ngai Tukairangi Trust 3

4 C: CERTIFICATION OF RELATIONSHIP TO OWNER NGAI TUKAIRANGI TRUST CERTIFICATION OF RELATIONSHIP TO OWNER I, Full Name of Owner, or Trustee or Executor In my role as OWNER or TRUSTEE or EXECUTOR circle one Of, Name of Trust or Estate (if applicable) Is registered with the Ngai Tukairangi Trust as: SHAREHOLDER NO: (if known) Of Address HEREBY CERTIFY THAT Full Name of Applicant IS RELATED TO OWNER AS: Child, Grandchild, Great-Grandchild, or Great Great-Grandchild Signed: Date: (Owner / Trustee / Executor) WITNESS: Name: I verify that the above person signed this certification: Occupation: Address: Signed: Date: 2019 Ngai Tukairangi Trust 4

5 D: EDUCATIONAL DETAILS Please answer ALL sections, Incomplete applications will not be considered. Use a separate sheet if insufficient space for your responses. 1. What school / educational institution did you attend in 2018 and what educational results did you achieve? (Please attach copies of relevant certificates of qualification and educational records, 2018 results transcripts etc. Please ensure that the certificates have been certified by a Justice of the Peace or solicitor) If you did not attend a school/educational institution in 2018, please detail what you have done over the last 2 years? (Please attach details of any qualifications or educational records, work experience, and, references if applicable to support your application) 2. At which tertiary institution will you be enrolled this year? (Please attach verified evidence of your enrolment details and fees etc) 3. What qualification are you studying towards? (e.g. Bachelor of Science) (Please note that you must be studying towards a recognised degree, diploma or trade qualification). 4. Are you a full time student? (Between 0.8 and 1.0 EFTS) (please ensure you provide the evidence to confirm this) 5. What are your course start / finish dates? 6. What year of study will you be in this year? 2019 Ngai Tukairangi Trust 5

6 7. What courses / subjects are you studying? 8. State your educational goals, and why you chose that course of study. 9. What are your career goals and how might your skills contribute to Whanau, Hapu and Iwi development in the future? 10. Proof of Enrolment VERIFICATION OF ENROLMENT BY TERTIARY INSTITUTION (Please attach current proof of enrolment verified by the tertiary institution or complete the following section to confirm full time student status). I am authorised to confirm that: is a student currently enrolled at Studying Course Start / End Date Institution Stamp Signed by: Position: Date: EFTS Ratio: 2019 Ngai Tukairangi Trust 6

7 E: COMMUNITY INVOLVEMENT IWI, HAPU, MARAE, TE REO Please answer ALL sections, Incomplete applications will not be considered. Use a separate sheet if insufficient space for your responses. 1. Briefly outline any involvement you have in Iwi, Hapu, Marae and other Maori community activities. 2. Discuss your aspirations in terms of Te Reo and Tikanga Maori, and what you are doing to achieve those goals? 3. Briefly list other wider community activities you have been involved in. 4. Briefly list your sporting, cultural, musical and/or leisure interests. Endorsement (This section must be endorsed by a Hapu or Whanau kaumatua, community leader, teacher, lecturer or principal) Name: Position: Signature: Date: 2019 Ngai Tukairangi Trust 7

8 F: PRIOR NGAI TUKAIRANGI TRUST TERTIARY EDUCATION GRANT 1. Have you previously received a Ngai Tukairangi Trust Tertiary Education grant? Yes / No If Yes please list below Year Qualification Year/Level Amount Received G: DECLARATION Declaration I declare that all information supplied in this application is true and accurate and that my application may be withdrawn if the information supplied is incomplete, inaccurate or not supplied by the due date. I agree to provide a copy of my Academic Results Transcripts to Ngai Tukairangi Trust as requested and I acknowledge that failure to do so may result in future applications being declined. Pursuant to the Privacy Act, I give consent for my application being sighted by the Trustees (and/or Educational Consultant) of Ngai Tukairangi Trust. I consent to my name being published as a recipient of this grant if my application is successful. Name of applicant Signature of applicant Date Signed 2019 Ngai Tukairangi Trust 8

9 APPLICATION CHECKLIST Please ensure you have answered ALL sections, and attached the required documentation Incomplete applications or late applications received after the closing date will not be considered A: Personal Details completed A: Personal Details attach Bank deposit slip or letter of verification from bank B: Whakapapa completed B: Whakapapa verified and signed C: Certification of relationship to owner completed C: Certification of relationship to owner verified and signed D: Educational Details Completed D: Education Details relevant documents attached including previous year s grades D: Copy of Fees invoice D: Verification of Enrolment completed and attached E: Community Involvement details completed E: Community Involvement details endorsement completed F: Prior Ngai Tukairangi Tertiary Education Grant completed F: Declaration signed by applicant Any other supporting documentation that may assist the assessor when considering your application Ngai Tukairangi Trust 9

10 Date Stamp: TONGAKAIWHARE TONY GEAR SCHOLARSHIP OF EXCELLENCE 2019 BACKGROUND INFORMATION This scholarship is offered to Ngai Tukairangi Hapu descendants who are beneficiaries of the Ngai Tukairangi Trust. The award seeks to acknowledge those students that are studying at a level or in an area of study that deserves special recognition, and to recognise the contribution made by Tongakaiwhare Gear to preserve the tikanga and kawa of Ngai Tukairangi hapu and promote the values of community and whanaungatanga. The successful applicant will be expected to attend the Ngai Tukairangi Trust Annual General Meeting to make a presentation of their achievements and their aspirations for the future. The Trustees reserve the right not to award the Scholarship of Excellence if a suitable applicant can not be found. CRITERIA 1. Applicants should be in their final year of study towards their first degree, studying towards a master s thesis, enrolled in an MPhil or PhD or studying towards a specialist area of study. The Ngai Tukairangi Trust is keen to receive applications from students who can demonstrate a balanced approach to cultural, academic aspirations, and horticultural studies. 2. Please submit an essay of between 1,000 and 1,500 words outlining how your studies would contribute to Whanau, Hapu and Iwi development, outlining in your view what you believe to be important aspects of development for our people in the next twenty years. 3. Please attach three references: Academic Reference Kaumatua Reference Character Reference IMPORTANT NOTE - Attach this cover sheet to essay and references 1. Name in Full: 2. Area of Study and Year: 3. Applicants Signature: 2019 Ngai Tukairangi Trust 10

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