ATS 50th Anniversary Scholarship

Ashburton Trading Society Ltd

50th Anniversary Scholarship Name

Day Time Phone

Address

Mobile

Email

ATS Shareholder Number

Birth Date

ATS Shareholder Name

Relationship to Shareholder

Please complete this application form and attach: • A letter outlining how this scholarship will advance your leadership in your co-operative and the community. (Maximum 1000 words) • A personal CV • The name and contact details of two referees • Signed terms and conditions

Scholarship Process Applications close Monday 29 July 2013.

Return your completed scholarship form by sending to ATS, C/O Marketing, P O Box 131, Ashburton, or by dropping in at any ATS store.

A short list of candidates will be interviewed by a Selection Panel.

w.ats.co.nz

50 CELEBRATING

YEARS

ATS 50th Anniversary Scholarship

1

Please read the following carefully, sign and attach to your application The ATS scholarship criteria are: •

The scholarship is open to ATS shareholders only.

•

Two scholarships will be offered as a one off occurrence to celebrate the 50 years of ATS with a combined value of up to $10,000.

•

The scholarship is to be used for study during 2014.

•

The scholarship may be held with any other scholarship, bursary, prize or fellowship, unless the conditions of the alternative award preclude it.

•

That the Selection Panel’s decision is final and no correspondence will be entered into.

By signing the application form the applicant agrees that and gives ATS permission to: •

Promote the scholarship and winners throughout all media and through the co-operatives publications including electronic channels. This may include but is not limited to your name and picture for promotional material.

•

All applicants, by signing the application form, give permission to ATS, and their study provider to exchange information about them for the purpose of assessing applications, selecting candidates for the scholarship, and if awarded a scholarship, for the purpose of distributing and obtaining information during and following the completion of studies.

•

Have authority to contact your referees.

I have read and agree to the terms and conditions, and to the best of my knowledge all information provided in this application is true and correct.

Signed

Date

If under 18 signed by a legal guardian Signed

Name

Relationship to applicant

Date

ATS 50th Anniversary Scholarship

2