F A Hayek Scholarship in Economics or Political Science Applications close at 5.00 pm on 15th October (or, if this is not a business day, by 5.00 pm on the next business day). NO LATE APPLICATIONS WILL BE ACCEPTED CONTACT DETAILS Full name: Street address: Suburb: Town/City: Country: UC Student ID: Citizenship: NZ Citizen Telephone: (0 ) Email: (UoC) Holder of NZ residence-class visa Other Cell phone: (0 @uclive.ac.nz ) (Personal) Programme Economics Political Science Supervisor(s) Title of Topic List any employment positions currently or previously held, relevant to your proposed research: PREVIOUS/CURRENT STUDY AT ANOTHER TERTIARY INSTITUTION List any academic prizes or distinctions received at another tertiary institution: List the titles of any publications or theses submitted for any degree at another tertiary institution: If currently enrolled at another tertiary institution, indicate when a final result is expected: CHECKLIST for F A HAYEK SCHOLARSHIP IN ECONOMICS OR POLITICAL SCIENCE Please do not put your application into a folder. All pages (excluding transcripts) must be A4 size, printed on one side only. Attach all pages of your application with one paper clip or staple in the top left hand corner. All candidates must Submit to the UC Scholarships Office, an application form that is signed and dated Provide a list of other awards held/ applied for (please indicate value and whether held or applied for) Provide a statement describing their research proposal and outlining the contribution they would expect to make to research in Economics or Political Science (see regulation 7) Candidates with tertiary qualifications from another institution in New Zealand must Apply for, or have been granted admission to the University of Canterbury at the time of making this scholarship application Attach academic transcripts and diplomas (originals or certified-true copies) Candidates with tertiary qualifications gained outside New Zealand must Apply for, or have been granted, admission ad eundem statum, at the time of making this scholarship application Attach academic transcripts and diplomas (originals or certified-true copies) Attach two written academic references in sealed envelopes with the referee’s signature across the seal (references must be originals, A4 size, and signed) For further enquiries contact: scholarships@canterbury.ac.nz 03 366 7001 ADVICE TO APPLICANTS Applications must arrive by the closing date shown on the form. No undertaking is given to accept late applications. References: PLEASE CHECK THE INDIVIDUAL APPLICATION FORMS: (If the application form does not ask you to provide references then disregard the rest of this paragraph.) It is your responsibility to contact your referees. Normally references should be sent direct to the Scholarships Office; they should be clearly marked with your name and the name of the scholarship(s) for which you are applying. Referees should not be asked to send their references to you as they must have the opportunity to be completely frank. Please note that all references are treated as confidential and cannot be returned to you without written authorisation from the referee. However, if the form states that references are to be attached, referees may provide them to you either open or in a sealed envelope. Uncertified photocopies of references are not acceptable; originals need to be sighted and certified copies taken by the Scholarships Office. Birth Certificates/Academic Transcripts: If birth certificates are required please bring your original to the Scholarships Office where a certified copy will be made. For students currently or last enrolled at UC the Scholarships Office will supply the Canterbury academic record. Students previously enrolled at other universities/tertiary institutions must supply an official transcript from that university/institution. Additional Material: Please note that only materials requested on the application form and/or in the Regulations are to be submitted - e.g. do not attach a c.v. unless you are requested to do so. In the interests of equity, any additional material will be removed from your application. Material submitted cannot be returned. Please do not put your application into any sort of folder. Simply attach all pages of each application with ONE paper clip in the top left hand corner. All pages should be A4 size, printed on one side only. PRIVACY PROVISIONS The information requested in this application form will be used solely for the purposes of assessing your application for the Scholarship for which you are applying. Personal information contained in this application will be made available only to members of the appropriate selection committee. Should you have reason to believe that information about you, supplied in connection with this application, or in your academic record, is incorrect, you have right of access to, and where appropriate, correction of, that information. Where references are required and are sent direct to the Scholarships Office by the referee or given to the student in a sealed envelope to be attached to the application, the references will be considered confidential and will not be released to the student without the written authorisation of the referee. DECLARATION: I have read and understood the regulations for the above award and the privacy provisions, and I agree to abide by the regulations. I agree to take part in any publicity that may arise from the award should I be successful with this application. Full name (Printed): Signature: Date: - -20 ACKNOWLEDGEMENT OF RECEIPT OF APPLICATION for: F A Hayek Scholarship in Economics or Political Science All applications will be acknowledged by email. Send completed application forms and documentation to: Scholarships Office Matariki University of Canterbury Private Bag 4800 CHRISTCHURCH 8140 New Zealand 09/15 For further enquiries contact: scholarships@canterbury.ac.nz 03 366 7001