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* 1. What is your name?

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* 2. Iwi affiliatoin/s (iwi, hapū, marae):

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* 3. Date of birth:

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* 4. Email Address:

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* 5. Phone number:

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* 6. Address:

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* 7. Current role/occupation:

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* 8. Background (please include qualifications, work experience or other relevant details):

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* 9. Questions (please answer in as much detail as possible):
i. Why are you applying for this scholarship?

ii. What areas of communications and public relations would you like mentoring or support in?

iii. What are your aspirations for the future?

iv. How do you hope this scholarship and mentoring programme will benefit you?

v. Recipients of this scholarship contribute ideas and feedback towards its development, and support people who come through the programme after them. What are your aspirations for future recipients?

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* 10. Reference/s - please supply two references who can support your application (Name, role, email address and phone number):

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