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Scholarship application Cover form - St Paul's Collegiate School

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APPLICATION FOR SCHOLARSHIP<br />

To be submitted by THE END OF TERM TWO in any given year to:<br />

The <strong>Scholarship</strong> Committee, c/- The Headmaster, <strong>St</strong> Paul’s <strong>Collegiate</strong> <strong>School</strong>, Private Bag 3069, Waikato Mail Centre, Hamilton 3240.<br />

PUPIL INFORMATION<br />

Surname(s)<br />

Christian Name(s)<br />

Date of Birth (dd/mm/yy)<br />

Ethnicity<br />

Present <strong>School</strong><br />

Male<br />

Iwi Affiliation<br />

Year Level<br />

Female<br />

PARENT/GUARDIAN INFORMATION - FATHER<br />

Surname(s)<br />

Christian Name(s)<br />

<strong>St</strong>reet address<br />

Town/Suburb<br />

Postcode<br />

Telephone (home)<br />

Title<br />

City<br />

Occupation<br />

Telephone (mobile/business)<br />

PARENT/GUARDIAN INFORMATION - MOTHER<br />

Surname(s)<br />

Christian Name(s)<br />

<strong>St</strong>reet address<br />

Town/Suburb<br />

Postcode<br />

Telephone (home)<br />

Title<br />

City<br />

Occupation<br />

Telephone (mobile/business)<br />

Please indicate any in<strong>form</strong>ation about the student’s primary caregivers and/or their care situation which may be of relevance to the<br />

<strong>application</strong>.


TYPE OF SCHOLARSHIP BEING APPLIED FOR<br />

Please complete the relevant appendix for either Cultural, Sporting or General Excellence scholarship.<br />

AMOUNT BEING APPLIED FOR<br />

To partially cover Tuition Fees Boarding Fees Other – please specify<br />

SUMMARY OF ACADEMIC AND CO-CURRICULAR INTERESTS, ACTIVITIES AND ACHIEVEMENTS<br />

If the student is not offered a scholarship but there is a fee paying place available at <strong>St</strong> Paul’s Collegaite <strong>School</strong> would you be interested in<br />

accepting that place?<br />

Yes<br />

No<br />

The student should submit a one-page handwritten personal statement about why they wish to attend <strong>St</strong> Paul’s <strong>Collegiate</strong> <strong>School</strong> and what<br />

they could contribute to the school.<br />

Please attach<br />

Most recent end of year school report<br />

Supporting letters from Referees (ie current teacher, principal, coach etc)<br />

Personal statement from student<br />

Completed Appendix for Cultural, Sporting or General Excellence <strong>application</strong><br />

Other ____________________________________________________________________________<br />

The decision of the <strong>Scholarship</strong> Committee is final and no discussions will be entered into regarding scholarship decisions.<br />

__________________________________________________<br />

Signed – Father/Caregiver<br />

__________________________________________________<br />

Full Name<br />

_________________________________________________<br />

Date<br />

_____________________________________________________<br />

Signed – Mother/Caregiver<br />

_____________________________________________________<br />

Full Name<br />

_____________________________________________________<br />

Date

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