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* 1. Your contact details

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* 2. Home / work phone

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* 3. Mobile

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* 4. Date of birth

Date

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* 5. Iwi

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* 6. Iwi

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* 7. Hapū

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* 8. Hapū

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* 9. Marae

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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

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

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* 13. Tell us about your career aspirations within the seafood industry.

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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?

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* 15. Course name

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* 16. Tertiary institution address

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* 17. Course start date

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.

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* 19. Upload certified copy of course acceptance letter

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* 20. Upload Curriculum Vitae

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* 21. Upload current photo

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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.

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

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