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Services
>
Scholarships
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Scholarship Form
New Zealand Nurses Scholarship on-line application
Scholarship/Grant Applied for*
Undergraduate Study
NZNO Membership Number (8 digits please)*
First Names*
Surname*
Preferred method of contact*
Home Phone
Mobile
Email
Home Phone (Digits only please)
*
Mobile Number (Digits only please)
*
Email*
Student ID Number (Digits only please)*
Evindence of current student ID
Supported formats:
jpg, gif, png, jpeg, pdf, doc, docx
Maximum file size:
2000KB
Bank Account Number*
How much money are you requesting?*
Are you studying to become a *
Registered Nurse
Enrolled Nurse
Midwife
Name of Polytechnic/University/Wanganga*
Date you started this study*
Month:
01
02
03
04
05
06
07
08
09
10
11
12
Year:
Evidence of enrolment*
Supported formats:
jpg, gif, png, jpeg, pdf, doc, docx
Maximum file size:
2000KB
Are you studying*
Full time
Part time
Have you received other grants or sponsorship in the last two years or do you have any other applications under consideration?
No
Yes
Please provide details (including what you have done with previous grants e.g. publications, presentations, innovative changes):
Please outline any assistance(if applicable) you are receiving including scholarships, student loans etc.
Please outline how you will use this course to benefit nursing/midwifery/healthcare in New Zealand?
How did you hear about this scholarship?
Evidence required
Supported formats:
jpg, gif, png, jpeg, pdf, doc, docx
Maximum file size:
2000KB
I accept the
terms and conditions
*