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1. Your contact details (Required.)

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2. Home / work phone (Required.)

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3. Mobile (Required.)

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4. Date of birth (Required.)

Date

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5. Iwi (Required.)

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6. Iwi

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7. Hapū (Required.)

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8. Hapū

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9. Marae (Required.)

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10. Marae

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11. List your previous involvement with your Iwi and community.  Please include details of any awards or acknowledgements you may have received (Required.)

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12. Describe why you have chosen to study within the marine, aquaculture or fisheries sectors (Required.)

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13. Tell us about your career aspirations within the seafood industry. (Required.)

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14. How did you find out about this scholarship and what do you know about Moana New Zealand and the kaimoana industry? (Required.)

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15. Course name (Required.)

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16. Tertiary institution address (Required.)

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17. Course start date (Required.)

Date

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18. I agree to participate in any reasonable publicity concerning the Scholarship arranged by Moana New Zealand, including the possibility of presenting at the Maori Fisheries Conference or other similar event. (Required.)

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19. Upload certified copy of course acceptance letter (Required.)

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20. Upload Curriculum Vitae (Required.)

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21. Upload current photo (Required.)

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22. By submitting this application, I affirm that the facts set forth in it are true and complete.  I understand that if I am chosen as the scholarship recipient, any false statements, omissions or other misrepresentations made by me on this application may result in my being omitted from selection. (Required.)

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23. Would you like to hear about future opportunities at Moana New Zealand?

T