Name: Secondary School Grant – Applications Close off date
Start: 2017-02-17T17:00:00+13:00
End: 2017-02-17T17:00:00+13:00
Location: Seaview

SECTION 1 - RAKATAHI DETAILS

Name*

First Last

Date of Birth*

Gender*

Male
Female

Would you like to receive information about Rakatahi Leadership Opportunities*

Yes
No

SECTION 2 - APPLICANT DETAILS (Parent, Guardian, Caregivers( Second chance learners

Name*

First Last

Address*

Street Address Address Line 2 City ZIP / Postal Code

Phone (Hm)*

Mobile Phone*

Email*

SECTION 3 - STUDY DETAILS

Name of School*

Please provide proof of registration and attendance at school.

Year Level*

Subjects*

SECTION 4 - PERSONAL STATEMENT - RAKATAHI

What are your aspirations for the future?*

SECTION 5 - OTHER SUPPORTING DOCUMENTATION

Bank Details

Bank verification of account number required. NB Any costs incurred for this account will be owners responsibility.

Is the applicant registered with Te Runaka o Makaawhio?*

YES
NO - Applicant needs to complete a registration form

SECTION 6 - APPLICANT SIGNATURE

I confirm that I have completed al sections of this application and attached all information requested. I also confirm that everything supplied in support of this application is accurate at the date of signing. I authorize the use of information in this application for statistical and administrative purposes and acknowledge that some information may be used to contribute to positive publicity about the grants and/or Te Runaka o Makaawhio.

Signature

Date*

CHECKLIST

Tick section completed including attachment of evidence/statements requested in each section to your application. Post all supporting paperwork to: Te Runaka o Makaawhio, PO Box 225, Hokitika 7842.

Checklist

Secondary School Grant – Applications Close off date

February 17, 2017 @ 5:00 pm

Matauraka Mahaki Ki Makaawhio Secondary School Grant

SECTION 1 - RAKATAHI DETAILS

SECTION 2 - APPLICANT DETAILS (Parent, Guardian, Caregivers( Second chance learners

SECTION 3 - STUDY DETAILS

SECTION 4 - PERSONAL STATEMENT - RAKATAHI

SECTION 5 - OTHER SUPPORTING DOCUMENTATION

SECTION 6 - APPLICANT SIGNATURE

CHECKLIST

Details

Organiser

Venue