Harold Holmes Student Grant - Student Application Form

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Harold Holmes Student Grant – Student Application Form

Student / Nominee Details

Please Select School(Required)

Only nominations from the following Schools are currently accepted.

Full Name(Required)

Age(Required)

Address(Required)

Email(Required)

Phone / Mobile No.(Required)

Are you a(Required)

Applicants must be New Zealand citizens or permanent residents. Successful applicants may be required to provide proof of identity.

Your Bank Details

Complete your bank details here.

Bank Account Name(Required)

Eg Joe Bloggs

Bank Name(Required)

Eg Kiwibank, ANZ

Bank Account Number(Required)

Upload proof of your bank account(Required)

Max. file size: 50 MB.

Please upload a New Zealand bank statement or print out showing your name, bank account number.

Application details

please complete the following questions.

Position / Areas of responsibility within school community:(Required)

Involvement within local community:(Required)

Academic Achievements:(Required)

Sporting / Cultural / Dance Achievements:(Required)

Proposed University Course(Required)

Applicants must study for a NZQA recognised degree at a recognised New Zealand university or polytechnic.

Name of University or Polytechnic attending(Required)

Future Aspirations:(Required)

DECLARATION AND PRIVACY ACT 1993 AUTHORISATION

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Simply click the SUBMIT button below, to send us your application. Please check you have received confirmation of your application email.

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Complete Application Form here

Reminder to prepare your Application First