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Level 3
140 Barbadoes St
Christchurch NZ
To Apply
To Support
Scholarship Application
Full Name
Your Email Address
Home phone number
Mobile/Work numbers
Address
Suburb
City
Code
Birthdate (for external funding purposes)
Ethnicity (for external funding purposes)
Name of Course
Start Date
Total amount you can pay yourself?
payment details (ie, 6 weekly payments of $10.00)
About you: Please tell us about your financial circumstances:
Please tell us why you would like to do the course and how it will benefit you and/or your family.
Can you see any benefits to anyone else in you attending the course? If yes, please explain.
Do you give permission for your name to be provided to the people who provide our scholarship fund? ____ This is for audit purposes, not for promotion. (They will not contact you)
yes
no
