Part 3 – Ōtaki and Porirua Trusts Board

APPLICATION FORM OF OTAKI AND PORIRUA TRUSTS BOARD FOR 2014

PART THREE

NGĀ MĀTUA (PARENTS) ME TE AKONGA (STUDENT)
ŌTAKI AND PORIRUA TRUSTS BOARD

PART THREE

Principal’s Confidential Report On

Application for a Secondary School Scholarship

To be returned to the Secretary of the Board, P O Box 63, Otaki to get there by 10 October 2014
Name of Applicant*
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
Name of Parent or Guardian
Present School
Name of Hapū
Address
Street Address Address Line 2 City ZIP / Postal Code
Using a 5 point scale where 1 is excellent, please fill in the following table:
Te Reo Maori
Ranking
Comment
English
Ranking
Comment
Subject-1
Ranking
Comment
Subject-2
Ranking
Comment
Subject-3
Ranking
Comment
Subject-4
Ranking
Comment
Stability
Personal Characteristics, Ranking and Comment
Ranking
Comment
Co-operation
Personal Characteristics, Ranking and Comment
Ranking
Comment
Independence
Personal Characteristics, Ranking and Comment
Ranking
Comment
Perseverance
Personal Characteristics, Ranking and Comment
Ranking
Comment
Leadership
Personal Characteristics, Ranking and Comment
Ranking
Comment
Health
Personal Characteristics, Ranking and Comment
Ranking
Comment
Personal Characteristics: Ranking: Comment:
General Behaviour:
Participation in School Life:
Participation in Sport:
Principal’s comment on potential:
School
Principal
Date
Date Format: DD slash MM slash YYYY

APPLICATION FORM OF OTAKI AND PORIRUA TRUSTS BOARD FOR 2014