TRINITY COLLEGE LONDON

New Zealand Study Grant 2016

Application Form closing date Friday 24 June 2016
You are eligible to apply if you:
Have passed at least one Trinity College London practical examination (Grade 5 or
higher) in the 12 months prior to application closing date
Are between the ages of 13 and 25 on the application closing date
Are a resident or citizen of New Zealand
Can provide all details requested in sections 1, 2, 4 and 6 of this form
SECTION 1: PERSONAL INFORMATION
Please complete all details in this section.
Surname (family name): Click here to enter text.
First name(s):Click here to enter text.
Date of Birth eg 01/01/01: Click here to enter text.
Postal address (please include city and post code):Click here to enter text.
Email address: Click here to enter text.
Phone number 1: Click here to enter text.
Phone number 2 (optional): Click here to enter text.
SECTION 2: TRINITY COLLEGE LONDON EXAMINATION HISTORY
Please attach your exam report for at least one Trinity College London practical
examination passed during the 12 months prior to the closing date of application.
Applications from students who have not passed a TCL practical examination at Grade 5
level or higher within the previous 12 months will NOT be eligible.
Please provide a brief history of any other TCL examination passes (practical or written)
ie month/year, subject, level:
Click here to enter text.
SECTION 3: OTHER ACADEMIC INFORMATION
Please attach report form(s) or academic transcript(s) for the highest level(s) attained
with any other examinations board eg if you have passed all grades up to and including
Grade 7 with another board then attach the Grade 7 report form ONLY.
SECTION 4: REASON FOR FUNDING APPLICATION
Please explain in 200 words or less how you intend to use this financial assistance and
what the benefit(s) will be. Typical applications will be for tuition fees for a set period,
Trinity exam fees, purchasing a resource, cost of attending a summer course.
Click here to enter text.
Please attach evidence of cost of project eg quote for tuition, resource price list.
How much funding are you applying for? Click here to enter text.

trinitycollege.com/NewZealand

SECTION 5: PERSONAL STATEMENT

Please give any further information that you feel may be relevant to your application.
You are welcome to attach evidence of other attainments eg placing in a competition.
Please limit your statement to no more than 200 words.
Click here to enter text.
SECTION 6: REFERENCES
Please attach the following:
Two letters in support of your application, one of which must be from your current
teacher. Both letters must be signed and dated and include contact email
addresses and phone numbers.
Applications will be considered by a committee of three Trinity College London NZ
Representatives, one of whom will be the National Representative. No committee
member may act as referee for any of the current applications. All applications will be
treated as strictly confidential, however Trinity reserves the right to publicise the
successful applicant(s).

Applications must reach the National Representative by 5pm on the closing date
All applicants will be advised of the outcome of their application within 14 days of
the closing date
Up to four awards will be granted per annum. The committee decision will be
final.

Please email the completed application form and supporting documents to the National
Representative: Cathy.martin@trinitycollege.co.nz. You will receive a receipt of
application by email. No hard copy applications please.

trinitycollege.com/NewZealand