Mickell Scholarship Application Form 2025

Mickell Scholarship

Application Form
Background

These scholarships recognise sporting talent within the Bay of Plenty and are designed to assist high-achieving young athletes, coaches and teams with travel support for regional, national, and international competitions.

Eligibility

Individual (athlete, coach) or Team - Any young athlete, coach or team competing to represent their school, club, sub-region or the Bay of Plenty region aged 16 – 22 at the time of application and currently residing within the Bay of Plenty regional boundaries in the current year, 2025. Eligible expenses must be incurred between 1 September 2025 and 30 April 2026.

Individual

· Value up to $750.

· Must be residing permanently in the Bay of Plenty region; evidence may be requested.

· The geographical barrier must be across sub-regional or regional boundaries.

For example, You live in Whākatane, and the competition is in Tauranga.

· Must have endorsement through their Regional or National Sporting Organisation if entering a representative competition; evidence required

Team

· Value up to $1250

· 80% of team members (participants) must be residing permanently in the Bay of Plenty region; evidence may be requested

· The geographical barrier must be across sub-regional or regional boundaries.

For example, The team lives in Whākatane, and the competition is in Tauranga.

· Must have endorsement through their Regional or National Sporting Organisation if entering a representative competition; evidence required

Requirements

· The scholarship will be conditional on the athlete/s or coach meeting the above eligibility criteria.

· Scholarships must be for a regional, national or international sporting competition or competitions (not local).

· Eligible expenses must be incurred between 1 September 2025 and 30 April 2026.

· Details of travel schedule to be provided, as well as quotes for service where applicable

· Successful applicants may be asked to assist Sport Bay of Plenty and/or BayTrust with promotional / role model or similar opportunities.

· Applicants will be expected to provide post-event reflection/results, which may be used for media purposes.
About the Applicant
Applicants Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number*
Email*
example@example.com
Please attach a headshot photo of yourself
Who is the scholarship application for?
Are you applying for yourself, in conjunction with another individual or on behalf of a team?*

MyselfIn conjuction with another individual athleteBehalf of a team
Full Name of individual athlete or coach that the scholarship is for (if different from above)
Date of Birth*
What is the address they reside at for the majority of the year? (If different from above)
Please list the team member names, date of birth and their home addresses where they reside for the majority of the year. (or upload document below)
Please provide supporting evidence if possible (i.e Team List and addresses)

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About the Competition
What sport is the application for? *
What is the name of competition you are applying for? *
Level of competition*
What expenses are you applying for help with?*
Where are you travelling from?*

Eastern Bay of Plenty (Matata to Opotiki, Kawerau to Murupara)Western Bay of Plenty (Waihi Beach to Paengaroa including Tauranga)Central Bay of Plenty (Rotorua to Tāupo)
Where are you travelling to? Please state location of competition*
Where are you staying? (if applicable)
Please provide evidence of entry to the event outside your home region from the National/Regional Sporting Organisation, Club, School or Organisation.*

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Describe any barriers or challenges you face travelling to this competition? *
Financial Details
Please outline below a breakdown of eligible costs to the athlete, coach or team that you are applying for. Use as much detail as possible *
Please upload any supporting documentation (receipts, invoices, travel documents, budgets etc)

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Bank Account Details

For payment of scholarship if you are successful
Account Name*
Account Number*
Inclusion of bank details in this application is no guarantee of your success in the application process.
Endorsement

A supporting statement from a coach, club official, regional or national sporting organisation is required to confirm the applicant’s level of competition and suitability for this scholarship. This helps ensure alignment with the fund’s purpose and supports the assessment process.
Name of Endorser*

First NameLast Name
Role of Endorser*
Organisation/Club*
Email of endorser*
example@example.com
Phone Number of endorser
Please enter a valid phone number.
Endorsement Statement: Please provide evidence in the form of a brief statement from your endorser supporting the application, the level of achievement, and why they are a suitable candidate for this scholarship. The endorser may also comment on the significance of the event and any financial barriers the athlete or team may face.

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7. Signature

In signing this application I confirm that the above information is correct, that I have read and understood the Scholarship Conditions and if selected I agree to abide by these conditions if selected.
Applicants Signature:*

Clear
Date*

MonthDayYear
Privacy Statement

Sport Bay of Plenty and the BayTrust will record the personal details provided on this form to thoroughly consider your scholarship application. This information may only be accessed by Sport Bay of Plenty and the BayTrust, and you have the right to inspect and update your details at any time by contacting us at P O Box 13355,Tauranga.
6. Checklist

Before submitting this application to Sport Bay of Plenty, please ensure that you have completed all the required information as per the checklist below.

Checklist*

	Confirmation
Eligibility: Is your competition in another region where the individual or teams currently reside for the majority of the year?
Eligibility: Are the athletes or coaches (individual or team) aged between 16 - under 23 ?
Evidence of participation: Have you provided evidence of entry or participation into an eligible competition?
Endorsement: Have you provided the name and contact details of an endorser?
Acknowledgement: I acknowledge that my application will not be considered if completed outside the designated application period.

Application open twice a year in the following periods:

Window 1: 1st - 28th February

- Notification by 31st March

Window 2: 8th September - 10th October

- Notification by 10th November
Should be Empty:

Mickell Scholarship

About the Applicant

Who is the scholarship application for?

About the Competition

Financial Details

Bank Account Details

Endorsement

7. Signature

Privacy Statement

6. Checklist