Application form for

NEW ZEALAND SHORT TERM

TRAINING SCHOLARSHIP

OFFICE USE ONLY

Applicant name:
Country:
Date:
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NEW ZEALAND SHORT TERM TRAINING SCHOLARSHIP SCHEME

The New Zealand Short Term Training Scholarship (NZSTTS) scheme, funded by the New Zealand Aid
Programme and managed by New Zealand’s Ministry of Foreign Affairs and Trade, provides skills
training and work experience for professionals from the Pacific and Timor-Leste through training
programmes.
Further information on NZSTTS, including eligible countries and the application process, is available at
https://www.mfat.govt.nz/en/aid-and-development/new-zealand-government-scholarships/new-
zealand-government-scholarships-on-offer/new-zealand-short-term-training-scholarships-for-pacific-
citizens/

SECTION 1: APPLICATION CHECKLIST

It is important that you correctly fill out all relevant sections in the application form and include all
documents listed below. Incomplete forms can cause delays with your application and may also lead
to your application missing the closing date.
Documents attached to this application must be certified1 true copies of originals with the official
stamp of the school/institution where relevant, or from a Justice of the Peace, Solicitor, Notary Public
or other authorised official. Where original documents are not in English, you must provide certified
true copies of official English translations.
Ensure that your completed application form includes the following:
 A completed eligibility checklist (Section 2).
 A certified copy of the personal pages of your passport (or an alternative form of photo
identification if you do not hold a passport).
 A current curriculum vitae (in English).
 A current job description stating your position title and outlining your responsibilities and
duties, if you are employed (in English).
 Certified copies of your academic transcripts and completion certificates (in English) for all
qualifications you have completed or are completing (where applicable), including the grade
assessment schedule used at each institution.
 Where available, certified copies of your International English proficiency test results, such
as International English Language Testing System (IELTS) or Test of English as a Foreign
Language (TOEFL), from within the last 18 months; OR
 Evidence2 of completion of all primary education and at least three years of secondary
education at schools with English as the language of instruction; OR
 Evidence of completion of five years of secondary education at schools with English as the
language of instruction.
Please confirm the following:
 I confirm that all information in the application is correct and all relevant information
required in the checklist has been attached.

1 A certified copy is a copy (often a photocopy) of a primary document that has on it an endorsement or certificate that it is
a true copy of the primary document.
2 Evidence must be on school letterhead and signed by the school principal or a designated alternative.
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SECTION 2: ELIGIBILITY CHECKLIST

To apply for a New Zealand Short Term Training Scholarship, you must meet the following criteria:
Yes No
1. I am a citizen of one of the following countries or territories: □ □
Federated States of Micronesia, Fiji, French Polynesia, Kiribati, Marshall
Islands, Nauru, New Caledonia, Niue, Palau, Papua New Guinea, Samoa,
Solomon Islands, Timor-Leste, Tokelau, Tonga, Tuvalu, Vanuatu, Wallis and
Futuna.
2. From the date my application is submitted, I will have lived in my country of □ □
citizenship for the last two years or more.
Exception for diplomatic corps and their family: A member of the
diplomatic corps or a dependant of a member of the diplomatic corps, living
outside their own country, can apply for a scholarship.
3. I am not a citizen or permanent resident of any the following countries: □ □
New Zealand, Australia, Bahrain, Canada, Chile, any European Union
country, Iceland, Israel, Japan, Kuwait, Norway, Oman, Qatar, Russia, Saudi
Arabia, Seychelles, Singapore, South Korea, Switzerland, the United Arab
Emirates, the United Kingdom or the United States of America.
Exception: People from the following countries and territories are eligible to
apply:
o Niue and Tokelau, even though they are New Zealand citizens.
o French Pacific Territories, even though they are French citizens.
o New Zealand-Samoan and Timor-Leste–Portuguese dual citizens.
4. I will be at least 18 years old at the time I start the scholarship. □ □
5. I am not currently serving in the military. □ □
6. Within the last five years I have not had a New Zealand Scholarship □ □
terminated.
7. I have at least one year of full-time or two years of part-time work □ □
experience (paid, unpaid or voluntary) that relates to my career and/or my
proposed training programme.

You must also acknowledge and agree that:

I have received endorsement from my employer (if applicable) to attend this □ □
training programme.
I expect to meet the academic entry requirements (including English language □ □
requirements) for my planned training programme.
I expect to meet Immigration New Zealand requirements for a visa.3 □ □

3 Visa types are determined by Immigration New Zealand at the time of application. Contact your nearest New Zealand
diplomatic post for further guidance.
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I will not bring any dependants with me to New Zealand while I am on scholarship. □ □
I am committed to returning to my home country for one year or more at the end □ □
of my scholarship to contribute to my country’s social and economic development.

SECTION 3: PERSONAL INFORMATION

First name(s)

Family name

Preferred name

Note: Names must be as they appear in your passport/birth certificate

Date of birth

 Female

What best describes  Male

your gender  Prefer not to say
 Prefer to self-describe _______________________

Place & country of birth

Country of citizenship

Second country of
citizenship (if you have
dual citizenship)

Passport number

Place of issue

Date of issue

Date of expiry

Do you suffer from any illness, condition or disability that might affect
your ability to participate in the proposed training programme (for
example, psychiatric condition, asthma, diabetes, significant visual
 Yes  No
impairment, motor disability or significant hearing loss)? A ‘Yes’
answer will not affect your chances of successfully obtaining a
scholarship.
If you have answered ‘Yes’, please provide brief details of the illness or disability and any special
requirements or support you may require to complete the course on a separate sheet of paper.
Please attach a copy of your doctor’s assessment of your needs.
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Applicant contact details: Please give an address where you can be contacted when a decision on
your scholarship is reached. You may not be offered a scholarship if you cannot be contacted.
Number and street
name
PO Box number

Suburb/Village

Town/City

District/Province

Country and post code

Home phone number
+ (country code) (number)
Work phone number
+ (country code) (number)
Mobile phone number
+ (country code) (number)

Email address (enter

more than one if relevant)

Emergency contact details: Name someone we can contact in an emergency

Name

Relationship to you
Number and street
name
Suburb/Village

Town/City

Country and post code

Home phone number
+ (country code) (number)
Work and/or mobile
phone number
+ (country code) (number)

Email address (enter

more than one if relevant)
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SECTION 4: PROPOSED TRAINING PROGRAMME

Please specify the
preferred training
programme or the type
of training you require
Name the training
provider where you
would like to undertake
your training (if known)
Please specify the
proposed length of the
training programme (if
known)
1. What are the learning Outcome:
outcomes you hope to
achieve from your
training programme?
Please include a
description of any
particular skills and
knowledge you and
your organisation want
to gain from your
training Outcome:
Please be as specific as
possible in no less than
250 words

Outcome:
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If relevant, how would

the outcomes described
above enhance the
development
project/programme
your organisation is
engaged in?

2.

How would the

outcomes described
above benefit your
organisation and your
home country?

SECTION 5: CURRENT WORK SITUATION

If you are not currently employed, proceed to Section 7.

Indicate your current  Working full time

status  Working part time (indicate hours per week: ____)

Current position title

Organisation

Start date (month/year)

Indicate which  Aviation

employment sector(s)  Accounting, banking and finance
are most relevant to
 Agriculture
your current area of
work  Business, consulting and management
 Climate change adaptation
 Marketing and communications
 Disaster/emergency management
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 Education
 Engineering and manufacturing
 Environment/natural resource management
 Fisheries/marine resources
 Food safety
 Forestry
 Law enforcement and security
 Healthcare
 Information and communication technology
 Law and justice
 Public services and administration
 Public utilities and infrastructure
 Recruitment and human resources
 Renewable energy
 Science
 Skilled trades (plumbing, electrical, construction)
 Tourism and hospitality
 Transport and logistics
 Other (please state) _________________________

Indicate which type of  Local government

organisation you work  Central government
for
 Private sector organisation
 Community/non-government organisation
 International non-government organisation
 Multilateral agency
 Self-employed
 Other (please state) _________________________

Provide a brief job

description, outlining
your responsibilities
and duties
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Briefly describe the

work of your
organisation

Indicate if you intend

to return to your
 Yes  No
current job if awarded
this scholarship
If you do not intend to
return to your current
job, please explain why
and what you intend to
do
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SECTION 6: EMPLOYER INFORMATION AND ENDORSEMENT

This section must be completed in English by your employer (a manager/supervisor).

Full name

Position title

Name of organisation

Address of organisation
Work and/or mobile
phone number
+ (country code) (number)
Email address
Do you support this
 Yes  No
application?
Are there any
comments you would
like to make in support
of this application?

Signature

Date

Official stamp
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SECTION 7: EMPLOYMENT INTENTIONS

If you are currently employed, proceed to Section 8.

What is the period of

your unemployment?

If you are successful in

gaining a scholarship
and are not currently
employed, please
describe your
employment
intentions once you
return to your home
country

SECTION 8: CURRENT STUDY AND STUDY HISTORY

Indicate your current  Studying full time

status  Studying part time
 Not currently studying

If you are currently  University foundation year

studying, indicate at  Tertiary training/technical certificate
which level
 Undergraduate diploma
 Bachelor’s degree
 Postgraduate diploma
 Master’s degree
 Doctorate (PhD)
 Other (please state) _________________________
Provide the following information for all completed and partially completed secondary, vocational
and/or tertiary qualifications. List the most recently completed or current qualification first.

Qualification name

Major subject(s)

Education institution

Institution location

Start and end dates

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Qualification name

Major subject(s)

Education institution

Institution location

Start and end dates

Qualification name

Major subject(s)

Education institution

Institution location

Start and end dates

SECTION 9: CURRENT TRAINING AND TRAINING HISTORY

Provide the following information for the last three training courses you completed or are currently
completing. List your most recent training course first.

Name of training course

Institution/organisation

Country

Start and end dates

Name of training course

Institution/organisation

Country

Start and end dates

Name of training course

Institution/organisation

Country

Start and end dates

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SECTION 10: CURRENT OR PREVIOUS NEW ZEALAND SCHOLARSHIP

Have you ever been the  Yes  No
recipient of a
New Zealand If you answered Yes, please complete this section. If you answered No,
scholarship? skip this section.

Scholarship name

Scholarship duration

SECTION 11: ENGLISH LANGUAGE PROFICIENCY

Training providers may require you to meet a certain level of English language proficiency.
Please attach any evidence of English language proficiency to this application form, as required in
the application checklist in Section 1.
Is English your first  Yes  No
language?
If you answered No, please complete this section. If you answered Yes, skip
this section.
Have you been
taught in the  Yes  No
medium of English?
If you have been  Primary school
taught in the  Junior secondary/high school
medium of English,
 Senior secondary/high school
indicate at which
 Undergraduate or postgraduate level
level
 While training for my job
 Other (please state) _________________________
Please indicate if you
have completed an
IELTS/TOEFL test but  Yes  No
are waiting for
results