Bursary Application

Personal Details

First Name *

Surname *

Confirm Email

Phone *

Address *

Address

City

State

Postcode

Please confirm the organisation you study with:

References

Referee One: Name

Referee One: Phone

Referee One: Email

Referee Two: Name

Referee Two: Phone

Referee Two: Email

Application Information

Do you have any relevant background information and/or training to support your application? Please explain…

Please confirm your career aspirations, ie, where you see yourself in 5 years time:

Please explain why should you be awarded the Potatoes New Zealand Bursary? *

Please explain how the funds from the Potatoes New Zealand Bursary will be spent?

Please upload your personal statement, resume, photos or information to support your application

Maximum file size: 52.43MB

Any additional information you would like to share? *

Financial Assessment

Have you applied for or been awarded any other bursaries/scholarships?

Yes

If Yes, please give details:

Applicant Agreement

If you are successful in gaining a Potatoes New Zealand Bursary, you must agree to providing quarterly updates as well as submitting and/or presenting a report to Potatoes New Zealand about your activities:

Yes

Captcha

If you are human, leave this field blank.