Summer Scholarship Application

Summer Scholarship Application Form

Application Deadline - August 1 2023
Before you begin you will need:
- A copy of your CV or resume
- A letter to the Executive Committee introducing yourself, why this scholarship interests you, and what you think you will gain from it.
Tip: The Committee are looking to get a sense of who you are. Treat the letter as you would an interview panel. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make your application unique.

Applicants will be notified of the outcome by the end of the second week of August.
I understand that:*

I am required to be available for the required number of weeks between November and February.That I will need to write and submit a report on my project at the conclusion of my scholarship.That I will deliver a short presentation either in person, via Zoom or pre-recorded about my project.This scholarship is paid in two parts, in November and January.The Executive Committee reserves the right not to award any scholarship in any given year.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Mobile No. :*

PrefixPhone Number
E-mail :*
Where the confirmation will be send to
Address when resident in Taranaki :*

Street Address

Street Address Line 2

City
II. Education:

Your Medical Education
Which University do you attend? *
Education status at the time of application:*

I am in my second year of medical schoolI am in my third year of medical schoolI am in my fourth year of medical schoolOther
III. More About You:

You will need your CV and letter files in this section.
What is your connection to Taranaki?*

No more than 300 words0/300
What is your availability likely to be? Please give approximate start and finish dates, as well as any time you would be unavailable.
Do you have any special skills?
E.g. Good with statistics, strong Excel skills, previous research or audit experience.
Do you have any medical special interests?
For example: Paediatrics, Maori health, orthopaedics.
Do you have a current driver's licence?

Yes - Full licenceRestricted licenceNoAccess to vehicle
File Upload - CV and Letter*

Please attach a copy of your CV or Resume and your letter to the Executive Committee
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IV. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Taranaki Medical Foundation is committed to equal opportunity in employment and education. The Executive Committee does not discriminate in any programme or activity on the basis of race, colour, religion, gender, age, national origin, disability, marital status, or any other reason.
Should be Empty:

Summer Scholarship Application Form

I. Personal Data:

II. Education:

III. More About You:

IV. Applicant's E-Signature