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Research Office

Waikato Institute of Technology & Trust Waikato Research Scholarships

STUDENT Application Form Tab and fill in your answers. Type as much or as little as you need. See http://www.wintec.ac.nz/scholarships/details/trust-waikato-research-scholarship.aspx Guidelines if you need further assistance or contact the research@wintec.ac.nz.

NB: Student applications will still be subject to the usual Wintec Research and Ethical approval processes as part of being considered for a Trust Waikato Research Scholarship. PERSONAL DETAILS: Family Name Given Name (s) Gender

                 

Qualification and Research Paper Enrolled: Research Paper Course

     

Course Co-Ordinator

     

If this is a group project, please list other members of the group

     

Permanent Address

     

Phone No

     

Term Address

     

Phone No

     

Please indication whether you are: X A New Zealand Citizen


A New Zealand Resident

CHECKLIST: Have you included:

X

Plan of how proposed research will be undertaken.

YES

Budget

YES

Two References (See Reference template)

YES

Academic Record

YES

Declaration (Read and signed the applicant declaration)

YES

Copy of letter of ethical approval (if required)

YES

GREATER WAIKATO COMMUNITY INVOLVEMENT Please list any community interests you are involved with:      

RELEVANCE STATEMENT Please provide a brief statement which sets out what you plan to research and how this proposed research links to the Trust Waikato Research Guidelines http://www.trustwaikato.co.nz/page/donation-policy

Title of Project:

     

Expected Outcome:      

Brief Statement:      

BUDGET

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Please provide a budget for this research (including fees and any operational costs of research) Note that any Capital items approved for scholarship funding will need to be returned to the research office after the completion of the Research. REFERENCE Please provide two references in relation to this application. One reference should be from a person who can assess your past academic records. The second reference should be from your Course Co-Ordinator. You may attach the reference to your application or your referee may send it directly to the Research Office. ACADEMIC RECORD Please provide a copy of your academic record.

DECLARATION 1.

I am aware that the award of a scholarshp requires me to be enrolled in a research paper and completing a qualification at the Waikato Institute of Technology.

2.

I confirm that the information contained within this appliction is true and accurate and that I have not withheld any information would could have a material bearing on my application.

3.

I acknowledge that I am bound by the Waikato Institute of Technology scholarship regulations and the enrolment regulations of the Waikato Institute of Technology. SIGNED:

     

DATED:

     

NB: SHORT LISTED APPLICANTS MAY BE REQUIRED TO ATTEND AN INTERVIEW.

Please email completed application and forward a signed original to the Research Office, W-Block (Level 2), cnr Nisbet & Tristram Streets. Any queries should be directed to the Research Office, email research@wintec.ac.nz/

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Trust-Waikato-Student-Application