2023 POPO Foundation Scholarship Application

POPO Foundation Scholarship Application Form

Last day for all submissions: Monday, 15 August2022.

Please note that an accommodation application for a University Residential College must be completed and submitted separately.

To complete this application you will need:
- A photo of yourself
- Your NSN and a copy of your Schools Results Summary (you can find your Schools Results Summary on the NZQA website)
- Two written letters of reference (preferably one from your Principal or Dean and one from a community leader)
If you need to take a break from filling the form for any reason, use the save button at the bottom of the page to save your progress. You will be emailed a link to continue the application at a later time.

If you don’t receive a confirmation email after submitting your application, please email pfp@otago.ac.nz to check we received it.

Fields marked with an * must be completed.

Applicant Details

Tell us about yourself
Full Name*

Given Name/sFamily Name
Date of Birth*
Ethnicity/ies*
Gender/Pronouns*
To help us put a face to the name, please upload a recent photo of yourself*

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Current NCEA year level*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your postal address different from your home address?*

YesNo
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*

Country CodeArea CodePhone Number
Home Number*

Country CodeArea CodePhone Number
Email Address*
example@example.com
Please tell us about yourself and describe what your daily routine looks like during the School term. Include why you are interested in the science subjects and any interests you have outside of school. (750 words max)*

Personal Statement0/750

Academic Details
NSN Number*
School currently attending*
Please upload a copy of your NCEA School Results Summary
(see attached an example of what that looks like)
Upload NCEA School Results Summary here*

If you have any issues uploading a file, please email pfp@otago.ac.nz
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Current subjects (list all Year 13 subjects)*
Awards Achieved
Please list any awards you have received in the last three years
Community Involvement

e.g. Hands on @ Otago, Pacific on Campus Experience, Health ScienceAcademy, Amanaki STEM Academy etc.
Please list scholarships/community programmes you have attended or are involved in:

Written Essay Questions
1. Why do you think the Foundation Year course would benefit you? (250 words max)*

0/250
2. Please tell us what your plans are to work with your Pacific community at the completion of your studies? (250 words max)*

0/250

Confidential Reference

Please provide two confidential referees – one who can comment on your academic ability and the other who can comment on your involvement in your Pacific community. At least one referee should be your School Principal/Assistant Principal or Year 13 Dean. In order to complete your application you will need provide the details for each referee and attach the references below.
Referee #1
Full Name*

Given Name/sFamily Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Reference #1*

Cancelof
Referee #2
Full Name*

Given Name/sFamily Name
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Reference #2*

Cancelof

Privacy Statement
Declaration of Applicant

Please read and understood the privacy statements below and agree to each condition by checking the box.
I confirm that the statements provided by me is/are original and typed by me.*
I confirm that all the information supplied and attached to this form is true and correct.*
I have read and understood the entry criteria, obligations, expectations and purpose of the POPO Foundation Scholarship Programme.*
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the terms and conditions of this application.*
I am aware that it is my responsibility to ensure submit my referee(s) reference(s) to support my application.*
I understand POPO Foundation Scholarship applicants must also complete and submit a separate accommodation application for a University of Otago Residential College.*
Should be Empty:

Applicant Details