an application form

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Office Use Only
Date received:……………… Application ID:……………… Acknowledged:……………….
SURNAME:
SECONDARY SCHOOL (if current student):
MASSEY UNIVERSITY VICE CHANCELLOR’S
HIGH ACHIEVER SCHOLARSHIPS
It is the responsibility of the applicant to provide all the information requested.
Incomplete applications will NOT be considered. All applications should be A4 sized, single sided and not
presented in any form of folder
Please tick one or more if applicable. I am applying for:
 Massey University Vice Chancellor’s High Achiever (Academic) 985
 Massey University Vice Chancellor’s High Achiever (Arts) 986
Arts Achievements (e.g Drama, music):
(This relates to the Selection Criteria in the regulations)
Scholarship subject/s entered:
(If applicable)
Please tick if applicable:  Maori descent  Pasifika descent
Iwi:
Pasifika Group:
(eg. Samoan)
Please tick if applicable:  Disability
Name in Full: Ms/Miss/Mrs/Mr:
Postal Address: (For correspondence regarding this application):
Telephone: (
Telephone: (
)
)
*E-mail address:
(*Contact is by email)
Massey University Student ID number:
(to obtain your ID number please ring 0800 MASSEY 0800 627 739)
Date of Birth:
Intended degree programme at Massey University:
Full-time:
Campus:

Part-time: 
 Albany
 Palmerston North
 Wellington
How did you hear about this Scholarship:  University website  Schools careers advisor /noticeboard
 University Liaison staff  Other (please describe) :
ATTACHMENTS REQUIRED TO SUPPORT YOUR APPLICATION
All Categories:
 A completed and signed application form – including NCEA calculator
 A written statement indicating why you think you should be awarded this scholarship, this should expand on your
best achievements listed in your CV (300 word maximum)
 A brief statement (no more than 150 words) outlining what your future goals are in relation to your study
 School Leaver applicants: a copy of your official interim NZQA Level 2 NCEA results (issued in January) (or exam
equivalent – e.g.Cambridge exams etc) and a supporting statement from the Year 13 Dean or Principal (see below).
Note: if you have completed Level 3 NCEA please supply both Level 2 and Level 3 results.
Note: If you have completed University or other tertiary papers – please attach
 Non School leaver applicants: a verified copy of your secondary school results or other post-secondary academic
achievements
 Applicants of Maori / Pasifika descent: a supporting statement (see below)
 Applicants with Disabilities: a supporting statement (see below)
Academic Category:
 A brief (no more than one page) Curriculum Vitae highlighting your Academic achievements
Arts Category:
 A brief (no more than one page) Curriculum Vitae highlighting your Arts achievements
 A statement outlining future goals in your chosen arts field - both long term goals (next 5-8 years) and short term
goals (next 2-3 years)
 Supporting letter from appropriately qualified person and/or organization (e.g. Director, editor, conductor,
teacher/mentor, orchestra, theatre company or society).
SCHOOL LEAVER APPLICANTS
Please ask the Year 13 Dean or Principal to provide a written statement indicating he/she believes you are clearly
capable of achieving University Entrance at the end of this year.
APPLICANTS OF MAORI DESCENT
Please ask a Kaumatua or other Community leader to provide written confirmation of your Maori origin.
APPLICANTS OF PASIFIKA DESCENT
Please ask a Church or other Community leader to provide written confirmation of your Pasifika origin.
APPLICANTS WITH A DISABILITY
Please attach a medical certificate or specialist assessment from an appropriate health professional who identifies and
confirms the disability.
DECLARATION
I consent to:
• The disclosure of personal information I have provided on this form, to staff within Massey University for the purpose of assessing
my application for a scholarship.
• The Scholarships Office obtaining any personal information about me which is required for the purpose of this application.
• Publication of my name and details of any scholarship which I am awarded.
• Acting as an ambassador for Massey University at my school and region.
I have read and understand the regulations for the Massey University Vice Chancellor's High Achiever Scholarships and agree to
abide by them.
Date: ...........................................
Signature:.....................................................................
NOTE: All applications are acknowledged by email. If you do not receive an acknowledgement within 10 working days of submission,
please contact the scholarships office scholarships@massey.ac.nz
Applications close 20 August with
ONLY if unable to scan - Postal:
June 2016
scholarships@massey.ac.nz
(scan and save as pdf - hardcopy is not required)
Scholarships Office
Massey University
Private Bag 11 222
PALMERSTON NORTH 4442
Courier: Scholarships Office
Massey University
Tennent Drive
PALMERSTON NORTH 4442
DISCLOSURE OF INFORMATION
The University undertakes to collect, use and store the information you provide in this application
according to the principles of the Privacy Act 1993.
Rank Score Calculator
Total Credits
Achieved
Level 3 Approved Subjects
Excellence Credits
Merit Credits
Total of
Excellence &
Merit Credits
0
Endorsed with
0
0
0
0
0
0
0
Total Level 3
Level 2 Approved Subjects
0
0
0
Total Credits
Achieved
Excellence Credits
Merit Credits
0
Total of
Excellence &
Merit Credits
0
0
0
0
0
0
0
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Total Level 2
0
0
0
0
Combined Total
0
0
0
0
National Certificate Level 2 Achieved with
National Certificate Level 3 Achieved with
Endorsed with
Cambridge Results
Level
Subject Units
Grade
Percentage
Total
0.00
Multiplier *
Average
Enter the multipler value in the
table above for the total number
of subjects entered.
0.00
* Multiplier Table
Number of
Subjects
Entered
Multiplier
1
1.0000
2
0.5000
3
0.3333
4
0.2500
5
0.2000
6
0.1666
7
0.1429
8
0.1250
NOTE: All applications are acknowledged by email. If you do not receive an acknowledgement within 10 working
days of submission, please contact the scholarships office scholarships@massey.ac.nz
Also note: The application form is now writable, this requires Adobe Reader version 9 or above. The latest Adobe
Reader is free to download from http://get.adobe.com/reader/.
Guidelines and Sample Arts CV
Presentation Styles
Please submit your application in the following order:
Academic:
completed and signed application form
NCEA (or Cambridge) calculator score
Statement outlining why you should be awarded the scholarship
Future goals statement
Academic CV
School reference
If applicable - (Maori/Pasifika/Disability evidence)
NCEA results
Academic: Please ensure you attach all relevant qualifications – remember that the Selection Committee can
only base their decisions on the information in your application. Your CV should list your achievements.
Take particular note of the NCEA requirements - You are required to attach a copy of your Official interim NZQA Level 2
NCEA results (issued in January). These have the heading National Qualifications Framework, and the New Zealand
Qualifications Authority address at the bottom of the page. You should also include a copy of your National Certificate of
Educational Achievement.
If you have completed University paper/s, please attach a copy of your academic results.
You are still eligible to apply if you have completed/are completing other secondary qualifications, e.g. IB/home schooling
etc, please attach a copy of your results. If you are undertaking the IB examination, please ask your Dean/Principal to
comment on your progress.
If you have lost your official copy you may send an unofficial copy printed from the NZQA website BUT only if this is
verified by the School.
You are required to complete the NCEA calculator/ Cambridge –the copy must be verified by the School (applicants who
have left school – you are not required to have this verified, but your application will not be accepted if you do not supply
verified copies of your NCEA results).
Even if you have achieved University Entrance and are still attending Secondary School your application requires a
reference / letter of support from your Principal or Year 13 Dean.
Arts: PLEASE NOTE: The Arts Scholarship is for those applicants who have achievements in the Arts beyond
NCEA subjects. If applicant’s achievements are NCEA subjects only, they should apply for the Academic category,
not the Arts.
Please submit your application in the following order:
Arts:
completed and signed application form
Statement outlining why you should be awarded the scholarship
Future goals statement
School reference
If applicable - (Maori/Pasifika/Disability evidence)
NCEA results
Evidence of artwork (if appropriate)
Arts CV
Arts CV: Your CV should list your achievements, these can be expanded on in your statement. Please keep your CV to
one page, if you have many achievements, please list your best achievements.
Re-read your CV and statement, and look at it as if you were a member of the Selection Committee –remember that the
Selection Committee does not know who you are.
The Selection Committees are made up of people with a great deal of arts experience and understanding, but they may not
necessarily know much about your particular area of art, therefore it is up to you to make it clear what your achievements
are and that your achievements are something out of the ordinary. It can be helpful to get someone who doesn't know
much about your arts achievements to read your application and the regulations (so they have some idea of the selection
criteria) and get some feed-back from them.
Please do not use abbreviations unless you have used the full wording previously and put the abbreviation in brackets
following, e.g. New Zealand Secondary Schools (NZSS), the abbreviation can then be used in later statements.
Do not assume – the Selection Committee may not know ‘Girls on Tour’ is a tour of local schools promoting the arts drama, dance, culture & music.
Rather than writing ‘Designed posters/graphics for various school groups and events’ – break that down to individual
lines (or if you have done many of these, list your best or more important results) e.g.
Designed graphics for xxxx School 1 st XI rugby team gear bags
Designed and painted Banner for xxxx to take to National Tournament
Designed and printed xxx Senior Ball tickets
It is important to have supporting references - if you have been a member of a theatre company, you should have a
reference from someone from that theatre company and not just from your school drama teacher.
On the application form
Arts Categories:
Arts Achievements (e.g Drama, music):.........................................
Do not list your NCEA results, the Selection Committee are looking for the category of Arts – such as: Photography,
Drama, Music , Performance, Dance, etc.
Do not use coloured paper, special binding or send CD’s. All applications, including CVs are photocopied before sending
to the Selection Committee.
Arts applicants may send evidence of their work if appropriate, this is to be limited to one A4 page.
Sample Arts CVs.
Sample 1.
2015
Arts Leader at xxxx High School
Arts Council member
YR 13 representative - Performing Arts Committee
Lead role of 'Charlotte Burrows' in xxx High School production - For Today
MC of xxx High School Lip Synch Challenge
Winner xxx High School Lip Synch Challenge
Played a Balladeer in Rumpelstiltkin for XXX Repertory Theatre Company
2014
2nd place - xxxx High School Lip Synch Challenge
Awarded Arts Bars, Blues & Gold Badges
YR 12 student representative - Performing Arts Committee
Top YR 12 Painting student
Top YR 12 Drama student
Winner of the xxxx Repertory Trophy for Most Outstanding Drama Student
Sold two pieces of art in the xxxx High School Public Auction Fundraiser
Lead role of 'Patty Simcox' in the xxxx High School Production - Grease
Achieved Grade 5 Trinity College Solo Piano
Solo Piano Performance at the xxxx Club.
Sample 2.
Member of xxxx High School xxxx Choir (11-15)
Member of xxxxHigh School yyyy Choir (11-15) Performer
in xxxx High School Stage Challenge (11-15) Choreographer
for xxxx High School Stage Challenge (2015)
Designed tickets, menus, & decorative elements for xxxx High School Ball (2015)
Performer in xxxx High School Pantomime (14)
NCEA L2 Design Achieved with Excellence (14)
NCEA L2 Painting Achieved with Excellence (14)
Awarded Excellence in NCEA L2 Design at xxxx High School Senior Prize Giving (14)
Trinity Grade 5 Singing with Merit (13)
Passed NZ Academy of Dance Jazz Major (13).
Sample 3
Art Board Results
NCEA Level 1 Design Achievement with Merit
NCEA Level 2 Design Achievement with Excellence
NCEA Level 2 photography Achievement with Excellence
Awards Received at xxxxx School
Visual Arts Representative Award 2014
Awarded Arts Honours for Visual Arts 2014
First in Visual Arts 2014
Gold Pin for Excellence in Arts 2014
Head of Arts Committee 2015
Art In and Outside of School
Artwork selected to be exhibited at ’Showing It’ a local Art Gallery. Youngest artist exhibiting work there at the time.
2014
Won a photography competition run by xxx magazine, photograph published in the December 2013 issue.
Designed and painted props and set backdrop for XX School Stage Challenge 2015 – award for excellence in set design.
Four paintings exhibited in Senior Students Arts Exhibition 2014.
Painting commissioned by xxxx 2014
Sample 4
Photography Achievements
Published photograph in the 'XX Calendar'
Donated a photograph to the XX Primary School to use in their fundraiser
Six published photographs in the XX newspaper, including one front cover shot
Sold a photograph to an Enterprise Group, this has been used on their Successful Product Competed in a Photo Battle
online (website address included)
Snowboarding photograph used in an Interview on an International website (website address included)
NCEA L2 Photography Achieved with Excellence.
Design Achievements
Designed label for XX Clothing Company
XX College Ski and Snowboard Champs Competition Poster
IT Designer for school Enterprise Group - this has involved :- two posters, stickers, whole product
Assigned to design specific pages for XX College end of year magazine 13
Magazine Design Committee for XX College end of year magazine 15
NCEA L2 Design Achieved with Merit
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