C. ALMA BAKER TRUST MAORI SCHOLARSHIP AWARDIN AGRICULTURAL SCIENCE

IMPORTANT INFORMATION: PLEASE READ THIS BEFORE PROCEEDING.

C. Alma Baker Trust applications are now open and will close on 15 October. Applications

received after this date will not be considered.

In order for your application to be processed as quickly as possible, please ensure:

1. Your application is downloaded and saved to your computer. This will ensure that you

are able to easily prepare the form and send-on for assessment and review

2. Your application is completed in full prior to submission

3. Your application is typed (handwritten applications will not be considered)

4. Your application is attached as a word document ONLY and emailed ONLY to

calmabakertrust@drk.co.nz prior to or on 15 October. (Late applications or alternative

formats of the applications, such as PDF, will not be considered)

5. Your profile picture is inserted on the second page of this application

The C. Alma Baker Trust (NZ) LimitedLimestone Downs, RD5 Tuakau, New Zealand

C. ALMA BAKER TRUST MAORI SCHOLARSHIP AWARDIN AGRICULTURAL SCIENCE

Please ensure profile picture is inserted

Date:Title: (Mr/Ms/Mrs/Dr):First Name:Surname:Student ID Number:Contact Phone Number/s:Date of Birth:Email:Semester Address:

Matua/father’s Iwi/tribe: Whaea/mother’s Iwi/tribe:

Matua/father’s Hapu/subtribe:

Whaea/mother’s Hapu/subtribe:

Marae: Marae:

Whakapapa (if applicable):Ko te MaungaKo te AwaKo te WakaKo te MaraeKo te HapuKo te Iwi

Ko toku ingoa

Which qualification do you intend to complete (e.g. Bachelor of Agricultural Science)

Level of Study (i.e. Undergraduate / Postgraduate / Masters / Doctorate)

Please indicate the subject you intend to major in:At which Tertiary Institution do you intend to study?

In what year will you obtain your qualification?

Do you have the support of your whanau and/or hapu and/or Kaumatua ?

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C. ALMA BAKER TRUST MAORI SCHOLARSHIP AWARDIN AGRICULTURAL SCIENCE

If you answered ‘yes’ briefly describe what form this support will take (e.g. emotional / financial / whanau):

Please list all other scholarships, bursaries and grants you will apply for (or have applied for) this year:

Are you currently employed? If yes, please describe, the Organisation, your role, their address and contact details

Title:Organisation:Organisation Address:

Organisation Contact Number:Will you be working while studying at University?

Is your employer/manager supportive towards your studies (e.g. study leave)? Please answer NA if appropriate

Has your employer been informed of your study intentions? Please answer NA if appropriate

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C. ALMA BAKER TRUST MAORI SCHOLARSHIP AWARDIN AGRICULTURAL SCIENCE

What life experiences do you bring, and how will they help your studies? (This question is particularly important for mature/adult students)

What are your goals over the next 10 years?

How will your proposed programme of study contribute to the Māoridom?

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