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Scholarship Application Form
Empowering the Future of
Muriwhenua's
Māori Health Workforce
Undergraduate Scholarship Application Form
First name
Last name
Email
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
What do you intend to study?
Choose an option
Are you currently enrolled?
Yes
No
How will you use your learning to build a responsive health service for Māori?
Share with us how you currently show your commitment and involvement in Te Ao Māori
Name of Referee
Referee Phone
Referee Email
Name of Referee
Referee Phone
Referee Email
Whakapapa
Enter your Iwi
Enter your Hapu
Enter your Marae
Kaumātua/Kuia Endorsement: To provide additional support on the Whakapapa above
Birthday
Submit
Thanks for submitting!
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