NZ Esports Scholar Initiative
Scholarship Application
Which type of scholarship are you applying for?
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Please Select
Exceptional Player Scholarship
Course Selection
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Applicant Information
Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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-
Country Code
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Area Code
Phone Number
Gender
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Date of Birth
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-
Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Proof of NZ Citizenship
*
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NZ Passport, NZ Birth Certificate or active drivers license
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I hold an active membership with NZ Esports
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Yes
No
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Game and Competition Details
Game Name (IGN)
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This should be the name you compete as at major competitions
Game Title
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Which game do you compete in?
Current Team
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Which professional esports organisation do you represent?
Competition Name
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What is the name of the competition you currently compete in?
Supporting Documents
*
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Please upload proof of participation, a letter of support from your affiliated team, and a letter of support from either the tournament operator or game publisher.
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I have read, understood and agree to the Terms and Conditions of the NZ Esports Scholar Initiative
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I agree
I certify that all of the information I am submitting is true to the best of my knowledge
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I agree
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