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THE NFD TRUST
P O Box 37729 Parnell, Auckland 1151
Level 2, 11 York Street, Parnell, Auckland 1052
TELEPHONE / TTY (09) 307 2922 & FAX (09) 307 2923
EMAIL: [email protected]; Web: www.nfd.org.nz
DEAF EDUCATIONAL SCHOLARSHIP
Purpose:
To provide grants to New Zealanders who are deaf or have a hearing loss, to support their study at PostSecondary institutions, (eg University, Teachers College, Polytechnic T.O.P.s, etc.) in support of
achieving educational qualifications.
The scholarships can be used to pay for fees, books and costs such as interpreters, note takers and
extra teaching.
How to apply
(APPLICATIONS WILL NOT BE CONSIDERED UNLESS ALL THESE CONDITIONS ARE MET)
The Applicant is required to:
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Be Deaf or Hearing impaired (60db or more in better ear). Please include with this application, a
copy of an audiogram or letter from audiologist or doctor or clinic verifying this. If the hearing
impairment is an Auditory Processing Disorder (APD) the applicant is required to provide a copy of
a letter signed by a Physician and/or Audiologist confirming the APD diagnosis.
2
Be applying for or attending a recognised post secondary institution.
3
Provide 2 written and signed references from people who have known you for at least 12 months.
4
Provide a one page summary of your educational qualifications and achievements, and include
photocopies of your educational qualifications.
5
Provide an official bank deposit slip showing pre-printed name and bank account number of the
applicant.
6
Apply before the closing date of 31 March.
Failure to submit by this date, will result in the application being deemed ineligible for funding.
The NFD Trust will pay invoices as submitted for fees and other charges up to the value granted for the
scholarship.
Please send your completed application to:
NFD Trust
PO Box 37729
Parnell
Auckland 1151
OR [email protected]
DEAF EDUCATIONAL SCHOLARSHIP
Name: ______________________________________________________________ Age: _________
Address: ___________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Tel. / Mobile: ______________________________
Email: ___________________________________
Name of course: _____________________________________________________________________
At ________________________________________________________________________________
Tick one: Full time: ________ Part time: _______
What funding have you had from The NFD Trust previously?
2014
2013
2012
2011
2010
2009
2008
Scholarship
$
$
$
$
$
$
$
Note Taker
$
$
$
$
$
$
$
Amount needed:
Fees _______________________
Books ______________________
Extra (Please list)
_________________________
___________________________
_________________________
___________________________
_________________________
___________________________
Total
___________________________
Do you receive, or will you be receiving:
a)
Study Right
Yes / No
d)
ACC
Yes / No
b)
Invalid Benefit
Yes / No
e)
Any other allowances
Yes / No
c)
Sickness Benefit
Yes / No
Have you applied for and/or received funds from any other source? (Indicate below as appropriate)
Deaf Aotearoa
Yes / No
$ __________________________
N.Z.F.D.C
Yes / No
$ __________________________
Others
Yes / No
1
If yes, please advise the name(s) of any granting agency / organisation, how much and when you expect
to get an answer?
Funding sought from
Amount
Date applied
Outcome
(if known)
Funding Still
Required
Total
How will the course help you?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
ATTACHMENTS CHECKLIST

Application form completed correctly and fully

Audiogram / Letter from Physician or Audiologist confirming diagnosis of APD

2x written and signed references, in support of application

Record of Learning / Qualifications (including scans of certificates etc where relevant)

Accountability form of any previous NFD grant given (if applicable)

Official bank deposit slip showing pre-printed name and bank account number of applicant
Date: ____________________________________ Signed: _________________________________
NOTE: Successful applicants are required to provide progress accountability reports to the NFD Trust.
If the progress report is NOT submitted, further grant applications will not be considered.
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