First Name *

Last Name *

Date of Birth *

Residential Address *

Suburb *

City/Town *

School Name *

School Type *

Primary

Intermediate

Secondary

First Name *

Last Name *

Relationship to Pupil *

Residential Address *

Suburb *

City/Town *

Phone *

Email *

NZCU Member Number *

Please attach an essay on a separate page about your ambitions and thoughts for the future and how saving and budgeting would help achieve them.

I/We wish to apply for an NZCU Auckland Scholarship for the pupil named above for the 2021 school year and confirm that:

I/We am/are the parent or grandparent of the pupil and the information supplied for this application is true and correct.
I/We are Members of NZCU Auckland as at 1st December 2020.
By sending this application, I authorise NZCU Auckland (for the purposes listed above) to:
- make enquiries about my child with the school named above or previous schools attended by my child;
- if successful, use our names and/or photographs in any press release, Newsletter, web page or other reports concerning the Scholarship.
I understand that the decision of NZCU Auckland regarding the allocation of the Scholarships shall be final and no correspondence may be entered into after the decision has been made.

I agree to the above declaration

2021 School Scholarship Applications NOW OPEN