find-an-adviser

STEP ONE: Application Form

Please save the application form to the desktop or a file on your computer. Then answer all the questions, and once you are ready to submit the application form continue with STEP TWO below.

pdf Application Form (please save and answer all questions)

get adobe reader

STEP TWO: Application Process

Once you have completed the application form please answer the following questions, attach your application form and click on submit.

Please note that fields marked with * are for required information. This will help us ensure your enquiry is directed to an appropriate person without delay.


Q1: Contact Details:
First Name*
Surname*
Address (home)*
Suburb*
Town/City*
Postal Code
Country*
Home Phone Number*
Mobile Phone Number
Email Address*
Date of Birth* (dd/mm/yyyy)
Nationality*

Q2: Are you a permanent resident of New Zealand?*


Q3: Secondary School(s) attended or current occupation:*


Q4: Where do you intend to study next year?*


Q5. What course do you intend to enrol in for 2011?*


Q6. What length is the programme?*


Q7. How did you hear about the scholarship?*


Q8. Academic achievements and or qualifications achieved

From your record of learning, or result slips from NZQA, please list your National Qualifications Framework registered qualifications achieved to date.
e.g. NCEA (Level 2) Achieved with Merit
1.
2.
3.
4.

NCEA overall level of Achievement Level 1:
Achieved (A) Merits (M) Excellences (E) Total

Summary of Credits gained Level 1

NCEA overall level of Achievement Level 2:
Credits by subjects/areas of learning achieved Level 2
Subject / area of learning Achieved (A) Merits (M) Excellences (E) Total
1.
2.
3.
4.
5.
6.
7.
8.
Total credits achieved :

Other areas of Academic Achievement or Qualification achieved
IGCSE (Cambridge) or International Baccalaureate results by subject or area of learning (Please list the highest level achieved to date.)
  Subject / area of learning Results
1.
2.
3.
4.
5.
6.
7.
8.

Other Qualifications
e.g. if you have studied overseas for a period during their past two years of schooling you may have completed an additional qualification
1.
2.

Q9. Please attach your completed Application Form*

  • Mike Pero Scholarship applicants may be asked to submit copies of their academic results.
  • It is a requirement that before a scholarship is awarded that evidence of academic achievement must be provided.
  • Applicants give consent to a nominee of Mike Pero contacting the school they have been attending this year and/or NZQA to verify academic achievement.