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Brian Perry Charitable Trust Undergraduate Scholarship in Science & Engineering

Brian Perry

Closing date: 15 April

Brian Perry Charitable Trust Undergraduate Scholarship in Science & Engieering

Please ensure that all questions are answered and that all the required attachments accompany this application form. Incomplete applications will not be accepted.

If your circumstances change after the submission of this application, e.g. you apply for or receive another Scholarship, please inform the Scholarships Office immediately.

Application Form

Personal Details
*This field is compulsory. If you do not have a Waikato Student ID number, you can apply to enrol and receive one here

We will use your contact details on the University’s database; you must keep them updated via iWaikato.

Study Intentions

Please indicate the qualification for which you are enrolled in as a full-time student in the Faculty of Science and Engineering for 2016:

Previous Study

Please list any prior tertiary study you have undertaken.

Tertiary Institution
e.g. University of Waikato
e.g. BA(Hons)
e.g. 2013-14
Completed / Ongoing
e.g. Completed

Academic Transcripts from other Tertiary Institutions
If you have studied at any tertiary institution(s) other than the University of Waikato, please upload any verfied copies of academic transcripts you may have from other tertiary institutions (including a grading scale where possible):

Financial Support

Please list any scholarships/awards you may have recieved and/or applied for, in 2016 including values:

e.g. XYZ Scholarship
e.g. $4,000
Applied for/Received
e.g. Received
e.g. 2016

You are required to obtain two referee reports, one academic and one character.

Please provide the name of the persons you have asked to forward a confidential reference to the Scholarships Office. Those references (on letterhead) must be attached to an e-mail and sent directly by your referee to

Title: Name:

Title: Name:

Supporting Documents

All applicants are required to submit supporting documentation, either in Word or PDF format.

Please upload with this application:

Curriculum Vitae
A brief CV (no more than four A4 pages in length):

Personal Statement
Please download and complete the personal statement form and upload with your application.


Applicants must tick all the boxes before an application can be submitted.

In submitting this application, I confirm that:


Fine Print

The information provided in this application will be used solely for the purposes of assessing your eligibility and suitability for the Scholarship for which you are applying. Personal information contained in this application will be made available to members of the Scholarships Committee, members of the Scholarships Committee, and staff of the Scholarships Office.

The University of Waikato undertakes to store your application in a secure place, in the event that you are successful in gaining an award or are selected as a reserve candidate for an award. The University of Waikato undertakes to destroy your application to preserve its confidentiality, in the event that you are unsuccessful in gaining an award. Should you have reason to believe that information held about you in either your application or your academic record is incorrect, you have the right of access to, and correction of, that information.

The University may contact the persons you have named in your application as referees for further information. Any such direct contact with these referees will be made on a strictly confidential basis. The University may not divulge details to you about the content of such confidential references without the written authorisation of these referees.