Scholarships — Initialize NZ | Drama-Based Youth Development Classes

Scholarship application form

Important: Before filling out this form, please follow this link to read our Parent and Student Agreements on our Programme Attendance Terms and Conditions page. We are only able to accept registrations from applicants who agree to these terms.

Please note that we have limited scholarships available.

Name of student *

Name of student

First Name

Last Name

Date of birth *

Gender *

Does the student have any medical issues or allergies? *

If yes, please provide details including the symptoms and suggested management of any allergies or known health problems that could arise.

Are there any areas where the students may require extra support? If yes, please provide details of whether this might impact the student during class and how we can best support the student during our classes. *

For example support with: English language, speech/hearing/visual, behavioural, mental/emotional/psychological, accessibility/physical movement, learning, religious/cultural requirements?

Name of parent/legal guardian *

Name of parent/legal guardian

First Name

Last Name

Parent/guardian contact number *

Parent's email address *

All programme related correspondence will be sent here.

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student's contact number (optional)

Student's email address (optional)

Name of emergency contact person (must be different from parent/guardian name above) *

Name of emergency contact person (must be different from parent/guardian name above)

First Name

Last Name

Relationship of emergency contact person to student *

Emergency contact number *

How did you find out about this programme? *

SCHOLARSHIP DETAILS

Please select type of scholarship you are applying for *

Full term scholarship - we are unable to pay anything towards the term fee

Partial term scholarship - we are able to pay something towards the term fee

Please let us know why you are applying for this scholarship and what makes your child a good candidate for this scholarship. *

Please let us know why you think you are a good candidate for this scholarship (this is not a literacy test, just write from your heart!) *

Message (optional)

Please tick to confirm that both parent/legal guardian and student have read and agree to the Initialize NZ Programme Attendance Terms and Conditions (see link at top of page): *

Accepting this application is at the discretion of Initialize NZ and is subject to scholarship availability.