Sir Edmund Hillary Scholarships
Principal’s Assessment Form
Applicants for the Sir Edmund Hillary Scholarship should arrange for their Principal to complete this form.
The completed form needs to be sent confidentially to the Scholarships Office either by email
([email protected]) or by post (Scholarships Office, University of Waikato, Private Bag 3105,
Hamilton 3240) by 31 August 2016.
Enquiries can be directed to:
[email protected] or (07) 858 5277
Please ensure that all questions are answered fully.
APPLICANT’S DETAILS
Last name:
First name(s):
University of Waikato ID number (if known):
Date of birth:
PRINCIPAL’S DETAILS
Name:
Title:
Secondary School:
Street number and name:
Suburb:
Town/City:
Country:
Telephone:
Email:
Mobile:
ACADEMIC ABILITY
Please comment on the applicant’s ability to achieve academically:
waikato.ac.nz
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THIS SECTION IS IMPORTANT – PLEASE ENSURE YOU ANSWER ALL THREE QUESTIONS
Has this student met the Numeracy and Literacy requirements for University Entrance?
Numeracy:
Yes
No
Literacy:
Yes
No
In your opinion, is this student likely to achieve the academic criteria for the Hillary programme by
January 2017 (i.e. NCEA Level 3 with a Merit endorsement (or higher) and University Entrance)?
Yes
No
LEADERSHIP QUALITIES & PO TENTIAL
Please comment on the applicant’s leadership qualities and potential, and list any leadership roles they
have held while at secondary school:
OTHER COMMENTS
Please include any other comments which you feel are relevant to this student’s application:
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SIGN HERE
Signature:
Date:
SCHOOL STAMP
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