Shell Scholarship

Shell NZ has temporarily put the Shell Scholarship Programme on hold. This means that no new scholarships will be on offer for 2017. Shell will review the programme and provide advice if the scholarship programme will be delivered again for the 2018 year

Energy Skills Association - Promoting and developing talent for the New Zealand energy industry

Personal Information

Mr MrsMissMs

Family Name:

 *

First Name(s):

 *

Student ID Number:

 *

Street Address:

 *

Suburb:

City:

 *

Country:

 *

Telephone(day):

 *

Telephone(evening):

Cell Phone:

Email:

 *

Educational Background

Please indicate the most recent secondary and subsequent schools attended:

CollegeYears AttendedSubjectAttainment

Intended Study

Auckland, AUT, Waikato, Massey, Victoria, Canterbury, Lincoln or Otago University:

At which University
do you intend to study?

 *

In which department?

 *

For which degree?

 *

Scholarships / Awards / Distinctions

List any scholarships or awards you have received to date, and any you are currently applying for. Give details of any recent academic prizes or distinctions you have received:


HARDSHIP DETAILS: This section is very important. Please take your time in providing as many details as possible. This is your chance to tell your story. Examples might include:

  • Experiencing difficulty paying for fees or materials
  • Individual or family adversity
  • Domestic violence, homelessness
  • Mental and physical health barriers
  • Drugs and alcohol addictions
  • Disability
  • Death / grief of a loved one

Financial hardship: Examples of financial hardship may include:

  • Facing economic barriers to further study
  • Cases of individual or family adversity
  • Single parenthood on government welfare
  • coping with homelessness
  • Disability

If you do not receive this scholarship how will you fund your university studies and pay for your educational expenses?

References

Please provide two referees that can be contacted; an educational referee and a member of your community.

Full nameRelationship to Applicant and
Address
Contact NumberEmail Address

Privacy Declaration

The information requested in this Scholarship Application Form will be used solely for the purposes of assessing you Application for the Scholarship. Personal information contained in your Application form will made available to members of the Selection Committee. PSANZ may obtain the following information from other parties:

  • Details of your secondary school academic records from the New Zealand Qualifications Authority;
  • Information obtained from the Applicant's referees

PSANZ may ask for evidence of you or your guardians financial circumstance as outlined in the Scholarship regulations.

PSANZ undertakes to store your Application form and Attachments in a secure place in the event that you are successful in gaining the Scholarship. You have the right to have access to and correct the information provided to PSANZ.

  By selecting this box you agree to the above conditions in respect of your Scholarship Application to PSANZ.

  By selecting this box you agree that you are over the age of 18 years and/or have had this application viewed by your legal guardian.

Declaration and Authorisation

I declare that the information contained in and provided in connection with this Application is true and correct. I acknowledge that giving false or misleading information is a serious offence. I further declare that if, for any reason, the information I have given is found to be incorrect or inaccurate, then I may have my Scholarship Application withdrawn.

I authorise PSANZ to contact the referees I provided above and declare that I will ensure each referee is aware that they will be contacted for a verbal and/or written reference in support of my Scholarship Application.

  By selecting this box you agree to the above conditions in respect of your Scholarship Application to PSANZ.

  By selecting this box you agree that you are over the age of 18 years and/or have had this application viewed by your legal guardian.

Attachments

Use the following checklist to ensure that you have included in your Application all required attachments:

  • A passport size photograph of yourself certified by someone who is not a relative, does not live at the same address as you do and who has known you for 12 months or more
  • A certified copy of your academic transcript (results of 1st and 2nd year university study)
  • A certified copy of evidence of your Citizenship (Birth Certificate, Certificate of Citizenship or the relevant pages of your passport)
  • A current Curriculum Vitae (outlining your academic achievement and any extra curricular activities, including sport and community activities)
  • A brief statement (of no more than 500 words) outlining why you should be awarded a Scholarship and what your career goals and aspirations are.

IF YOUR APPLICATION IS INCOMPLETE IN ANY WAY, IT WILL NOT BE CONSIDERED.

Photo:

 PDF or JPEG Only

Academic Transcript:

 PDF Only

Evidence of Citizenship:

 PDF or JPEG Onlyy

Upload your CV:

 PDF or JPEG Only

Statement:

 PDF Only
  

Enter code: h5247z

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