1. Healthcare

FORM
Tipu Whakarito Te Reo Māori me Te Waka Whakarei
T E REO M ĀORI ME T E WA K A W H A K A REI
2 0 1 5 F O R M School Leaver and Undergraduate
Scholarships (Secondary) T IPU W H A K A RI T O
Aotearoa needs great teachers. At TeachNZ we know that great
teachers are not all the same – they have different backgrounds
and life experiences. The School Leaver and Undergraduate
Scholarships (Secondary) acknowledge this diversity, and the
energy and enthusiasm it can bring to teaching.
There are two types of scholarships available:
»
Tipu Whakarito Te Reo Māori – for people wanting to teach te
reo Māori as a subject in secondary schools.
»
Te Waka Whakarei – for people wanting to teach a secondary
subject in te reo Māori in wharekura.
These scholarships are available for people who are proficient in
te reo Māori and who wish to work as secondary teachers. The
scholarships provide financial assistance while you are studying
towards a teaching qualification.
This Application Form is valid for people who will either
commence or continue their study towards an approved
2015
School Leaver and Undergraduate
Scholarships (Secondary)
qualification at the start of the 2015 academic year. Download
the latest forms and guides from www.TeachNZ.govt.nz.
Applications open: 2 February 2015
Applications close: 2 March 2015
PLEASE READ THE GUIDE BEFORE FILLING IN THIS FORM.
We also strongly recommend you ask someone else to check
your completed application before you send it to us.
This Application Form must be fully completed with all
necessary documents attached. Incomplete or illegible
applications may not be considered.
TeachNZ is happy to answer any questions about scholarships.
Call us (free) on 0800 165 225, weekdays between 8:30am
and 5pm, or email [email protected]. Also visit
www.TeachNZ.govt.nz.
The Application Form for the School Leaver and Undergraduate
Scholarships – Māori Medium (Primary) is also available from
www.TeachNZ.govt.nz.
1. Type of scholarship
Tick the scholarship you are applying for. See pages 1 and 2 of the Application Guide for more information about each scholarship type.
Tipu Whakarito Te Reo Māori (to teach te reo Māori as
a subject in secondary schools).
Te Waka Whakarei (to teach a secondary subject in
te reo Māori in wharekura).
2. Name and contact details
State your name as it appears on your birth certificate, marriage certificate or passport.
First name(s):
Email:*
Middle name(s):
*We will confirm by email that we have received your application.
Date of birth:
Gender:
Last name(s):
/
/
Male
Female
Name that your tertiary provider knows you by (if different from above):
3. Citizenship or residency status
Address:
Tick the box that applies to you.
I am a New Zealand citizen.
Postcode:
Phone:Mobile:
(
)
(
)
You must provide proof of your
name and date of birth with a
certified copy of your New Zealand
birth certificate, certificate of New
Zealand citizenship, or New
Zealand passport. If your name has
changed you need to supply proof.
I am a permanent resident.
You must supply proof of your
name, date of birth and
residency with a certified copy of
the main ID page in your passport
AND the page showing your
indefinite New Zealand permanent
residency stamp or sticker. You must
have held permanent residency
status for at least three years.
0800 165 225 www.TeachNZ.govt.nz
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4. Ethnicity
Ethnicity (you may list up to three):
Iwi (you may list up to three):
5. Qualifications and academic history
Provide details of the highest qualification you’ve achieved or partially completed, either academic or work-related. If you are currently studying towards your
highest qualification, write this qualification below.
Attach certified evidence of your highest qualification. This must be a certified copy of a work-related certificate or award, and/or an academic
transcript for any study undertaken.
If you have already commenced study towards your teaching qualification, you must provide an academic transcript which shows
all study undertaken.
Highest qualification:
New Zealand Qualifications Framework (NZQF) level: Date achieved:
/
/
I have completed my qualification
I have partially completed my qualification
Other qualifications, certificates and awards:
Year:
You can provide further support for your application by inserting details of any other qualifications, certificates and awards that you may have
achieved. Attach certified evidence of these as well.
6. CV (Curriculum vitae)
To give the selection panel a greater understanding of your qualifications and work history, please supply a brief CV (no more than four A4 pages).
0800 165 225 www.TeachNZ.govt.nz
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Sections 7 and 9
»»
»»
7. Tertiary provider declaration
Ask your Head of Department or Programme Director to complete the following:
Notes to Head of Department or Programme Director
The student named on this form is applying for a School Leaver and Undergraduate Scholarship (Secondary), either Tipu Whakarito Te Reo Māori or Te Waka
Whakarei. If awarded, the scholarship provides financial help over the period of tertiary education.
To be eligible, the student must have been offered a place in an approved qualification to teach te reo Māori as a subject at a state or state-integrated
secondary school (Tipu Whakarito Te Reo Māori scholarship) or to teach a secondary subject in te reo Māori in wharekura (Te Waka Whakarei scholarship).
Students must be able to meet the level of te reo proficiency required to complete the course successfully.
This section asks you, as Head of Department or Programme Director, to confirm that the student meets these criteria.
Head of Department or Programme Director to complete:
I can verify that (name of student):
has been offered a place to study an approved degree at the start of 2015
has the proficiency in te reo Māori to complete the course successfully.
Please tick the scholarship type they are applying for.
Tipu Whakarito Te Reo Māori (to teach te reo Māori as
a subject in secondary schools).
Te Waka Whakarei (to teach a secondary subject in
te reo Māori in wharekura).
Signed:
The secondary subjects they will teach are:
Senior level (please state):
Name:
Junior level (please state):
Job title:
Study start date:
/
Expected study completion date:
/ 2015
/
Phone:Date:
/
(
Name of degree:
)
/
/
Email:
Qualification code:
Note: All fields in this section must be completed. If you cannot
complete a field, please provide an explanation or this application may
not be considered.
Name of tertiary provider:
Which year of study will he/she be starting in 2015?
First year
Second year
Third year
Fourth year
0800 165 225 www.TeachNZ.govt.nz
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8. Tauākī a te kaitātaki (To be completed in te reo Māori by applicant)
He aha ki ōu whakaaro ngā tohu o te kaitātaki pai, ā, he aha ōna pūkenga, ōna pūmanawa, ōna āhuatanga hoki e kaha ai ia ki te tautoko, ki te whakahau, ki te
whakaawe rānei i ētahi atu. Kōrerohia mai hoki tētahi mahi āu, tētahi wā rānei i whirinaki ai ki ēnei pūkenga arataki, whakahauhau, akoako, tautoko rānei, i
ētahi atu. Ākene he tūranga ōu i roto i tō whānau, i tō hapū, i tō iwi rānei, he kapa tākaro pea te take, he tūranga mahi rānei tōu i mua, he rōpū rānei kua mahi
nā koe i roto.
You may type your statement and attach a print-out to the Application Form. If choosing this option, please indicate this on page 5 of the Form.
We would appreciate it if your response was no more than 500–600 words of handwritten or typed text.
0800 165 225 www.TeachNZ.govt.nz
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8. Tauākī a te kaitātaki continued...
I have attached an additional page
List two referees who can confirm your statement.
Please note: A referee cannot be your spouse or partner, or a member of your family. They or you may be contacted by TeachNZ or the selection panel.
Referee (please print):
Referee (please print):
Relationship to you:
Relationship to you:
Phone:
(
)
Phone:
(
)
0800 165 225 www.TeachNZ.govt.nz
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9. Whakapapa, reo, tikanga
(To be completed in te reo Māori by applicant)
Ko tētahi o ngā whāinga matua o te Tāhuhu o te Mātauranga ko te whakapau kaha kia eke panuku ai ngā ākonga Māori. Hei tutuki i tēnei moemoeā
kua whakawhanakehia e Te Tāhuhu o te Mātauranga tētahi rautaki e kīia nei ko Ka Hikitia – He Kauhou Manawaora.
Ko te tino whāinga rautaki nei o Ka Hikitia – He Kauhou Manawaora, ko ‘te Māori hei Māori tonu ki ōna tāpuhipuhi mātauranga’. He mea tipu tēnei i
runga i te kaupapa o Te Ara Pūmanawa Māori e aronui ana ki ngā tikanga o te mahi ngātahi me te whakaaro mana tahi. Ko tāna anō e kī nei ko te reo
Māori te hā o te ahurea, ā, mā roto i te reo Māori hoki e puta ko te mana o te wairua me te whakaaro. Kāti, ka kīia ai ko te whakapapa, ko te reo, ko
te tikianga te tokotoru nui o te mātauranga mō ngā akonga Māori katoa. Tēnā, he aha ō whakaaro mō ēnei tū āhuatanga, ā, me pēhea tō whakapapa,
tō reo me tō ahurea e āwhina i a koe ki te whakaako?
Once you have completed your statement, give your statement
to one of the following people to support your application:
» a kaumātua
» a Māori liaison officer
» a Māori tutor, teacher or principal
» a leader of a Māori community group or authorised person
of a Māori authority, rūnanga or trust board.
This person may also be one of your referees for the statement
on pages 4–5, but cannot be your spouse or partner, or a member
of your family.
You may type your supporting statement and attach a print-out to
the Application Form. If choosing this option, please indicate this on
page 7. We would appreciate it if your response was no more than
500–600 words of handwritten or typed text.
0800 165 225 www.TeachNZ.govt.nz
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9. Whakapapa, reo, tikanga continued...
I have attached an additional page
Please note: Your supporter may be one of your referees but cannot be your spouse or partner, or a member of your family. They or you may be
contacted by TeachNZ or the selection panel.
Supporter to complete: Applicant’s name:
I support this application from
Name (please print):
Title:
Relationship to applicant:
Phone:Date: Signed:
(
)
/
/
0800 165 225 www.TeachNZ.govt.nz
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Please attach all your documents here with a paperclip.
10. Applicant declaration
11. Document checklist
Read each statement and tick if it is true, then sign and date below.
If you cannot truthfully tick each statement, then do not sign or send
this application.
Application Form, including:
All the information I have given in this application is true.
All applicants must provide a complete, correct and legible
CV (curriculum vitae) – no more than four A4 pages
T auākī a te kaitātaki (Leadership statement, listing two referees)
I have read and understood the information about TeachNZ School
Leaver and Undergraduate Scholarships in the Application Guide.
hakapapa, reo, tikanga (Identity, language
W
and culture statement, and supporter’s details).
I understand that if I accept a TeachNZ School Leaver and
Undergraduate Scholarship, and then do not complete my study or bond
period, I will be required to repay the fees and allowance payments (if
any) I received from my TeachNZ Scholarship.
I understand that TeachNZ and my tertiary provider will share my
information (including my proficiency in te reo Māori) with each other
and the selection panel.
I have attached all the necessary documentation to support my
application and understand that if my application is not complete
it may not be considered.
Attach certified copies of:
proof of name and date of birth (your New Zealand passport
or New Zealand birth certificate or certificate of New Zealand
citizenship)
proof of change of name (if applicable: a marriage certificate or
deed poll document, or birth certificate that shows your name change)
Name (please print):
proof of residency status (if applicable: the main ID page
in your passport AND the page showing your indefinite New
Zealand permanent residency stamp or sticker. You must have held
permanent residency status for at least three years)
Signature:
proof of your highest qualification: either a certified copy of a
work-related certificate or award and/or an academic transcript for
any study undertaken.
I have not previously held a TeachNZ scholarship.
If you have already commenced study towards your teaching
qualification, you must provide an academic transcript which
shows all study undertaken.
Date:
/
/
Your application must
be signed and dated.
Sending your application
Post or courier your completed application on or before
2 March 2015. If your appplication is postmarked after this
date it will be ineligible.
Post:
TeachNZ School Leaver and Undergraduate Scholarships
Tipu Whakarito Te Reo Māori me Te Waka Whakarei
Ministry of Education
PO Box 1666, Wellington 6140
Courier:
TeachNZ School Leaver and Undergraduate Scholarships
Tipu Whakarito Te Reo Māori me Te Waka Whakarei
Ministry of Education
Level 3, 45–47 Pipitea Street, Thorndon, Wellington 6011
We will send you an email to let you know we have received your application.
Please contact us if your application has not been acknowledged within one
week of the closing date.
IMPORTANT
Certified copies
C ertified copies are A4-size photocopies that have been
stamped on the front page of every document and endorsed
as a true copy of the original. Any one of the following people
can certify a photocopy:
»
»
»
»
»
School principal
Registrar of a tertiary provider
District Court Registrar or Deputy Registrar
Barrister or Solicitor
Justice of the Peace (you can find a list of local
Justices of the Peace in the Yellow Pages).
Please note the person who certifies your documents must
not be your spouse or partner, or a member of your family.
Privacy
The Ministry of Education uses the information collected on this form to:
» consider your application for a School Leaver and Undergraduate Scholarship
(Secondary) – Tipu Whakarito Te Reo Māori me Te Waka Whakarei
» administer your scholarship, if your application is successful.
For these purposes, the Ministry of Education may share your information with
your tertiary provider (including your proficiency in te reo Māori), the selection
panel, Inland Revenue, and StudyLink. The Ministry of Education may also use
information for statistical and research purposes. Your information is held by
TeachNZ in the Ministry of Education. You have the right to access your
information and to request correction of anything that you think is wrong.
If you change your contact details
Let us know as soon possible if your details change after sending your application
by calling (free) 0800 165 225 or emailing [email protected].
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