SCHOLARSHIP/GRADUATE PROGRAMME APPLICATION FORM 2016 Personal Information Family name: ................................................................................................... Given name: ................................................................................................... Preferred Name: ................................................................................................... Gender: (reporting purpose) Male / Female Contact address term (include post code): .......................................................................... .............................................................. . .......................................................................... .............................................................. . Contact address home (include post code): .......................................................................... .............................................................. . .......................................................................... .............................................................. . Telephone number: ................................................................................................... Email address: ................................................................................................... How did you hear about the RBNZ Scholarship/Graduate Programme? .......................................................................... .............................................................. . Entitlement to Work in New Zealand Are you a New Zealand or Australian Citizen If no, do you hold: A Work Permit / Visa A NZ Residence Permit An Australian Residence Permit Yes / No Yes Yes Yes No No No 2 Academic History (please enclose photocopies or originals of certificates/academic records): University: .............................................................................................................. Degree/s: .............................................................................................................. Major/s: .............................................................................................................. If completed, year achieved: ........................................................................................ Current Study What qualification are you currently working towards obtaining? Honours/Masters/PhD Subject ................................................................................................... Please list the papers enrolled for and/or involved or proposed research topic in 2016 (please enclose proof of your enrolment for the coming year): ......................................................................... ............................................................... . .......................................................................... .............................................................. . .......................................................................... .............................................................. . ......................................................................... ............................................................... . .......................................................................... .............................................................. . .......................................................................... .............................................................. . Please note the date you intend to complete this qualification: .......................................................................... .............................................................. . Skills In a sentence or two please outline how you would like to apply the skills and information you have acquired at university in your career. .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . 3 Economic Issues List some (2-5) “controversial” economics or policy-related issues in which you are interested. (You may be asked to discuss one or more of these in the interview process). .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . .......................................................................... .............................................................. . References Please provide the names of two or three people that we may contact for verbal references. Please ensure that one is a current lecturer of a paper that you are undertaking or have recently undertaken that would be relevant to the Reserve Bank of New Zealand. Referee Name: Position: Phone Number: Privacy Act 1993: The information collected in this application form will be used only to consider candidates for the Reserve Bank of New Zealand Scholarship and Graduate Programme. It will be viewed by all relevant Reserve Bank staff when considering applications. Information supplied may also be discussed with referees nominated by the applicant. Declaration I declare that the information above is correct and accurate. Signature:………………………………………… Date:………………………. 4 Checklist Please supply the following with this application form. Tick to check you have included each document. Cover letter Curriculum Vitae (including a full list of papers you are enrolled in for 2015) Evidence that you are enrolled in your course for the coming year A copy of your official Academic Transcript (or a copy of an unofficial transcript that has been stamped and signed by your University) One recent essay you have submitted as part of any degree course Applications close Thursday 14 January 2016 Please email your completed application by 5pm, Thursday 14 January 2016 to: Emma Tierney Human Resources Adviser Reserve Bank of New Zealand Telephone: 04 471 3680 Email: emma.tierney@rbnz.govt.nz