Ka Mahi Scholarship Application

Register your interest for upcoming scholarship courses by submitting an application below.

Please check that you meet the following criteria before completing the application form:

I am a New Zealand Citizen or Resident
I am aged between 18-26 years

Fields marked with * are required.

PERSONAL DETAILS

Full name *

Date of birth *

dd/mm/yyyy e.g. 08/02/1998

Gender *

My preferred pronouns are: *

What words would you like us to use when not using your name, such as; he, she, they etc.

Ethnicity *

e.g. NZ European, Māori, Pasifika

Where do you live currently? *

Please name a city, town or region

Mobile phone number *

Email address *

Preferred course date(s)

10 May – 30 May 2022

8 June – 28 June 2022

2 August – 22 August 2022

30 August – 19 September 2022

Financially, how much can you contribute towards your course? *

How did you hear about our Ka Mahi scholarship? *

SUPPORTING INFORMATION

Tick the statement(s) that applies to you: *

I am actively helping in my community and/or championing diversity

I am currently experiencing a challenge eg financial, emotional etc.

I volunteer for one of the following Community Partner organisations: (select from dropdown)

If your volunteering organisation isn't listed, please name it below.

Please provide information related to the statements you ticked above. *

e.g. how you help in the community, your current challenging situation and/or the work you do with one of our Community Partner organisations.

Why do you want to do an Outward Bound course? *

e.g. what you hope to achieve and/or experience by completing a course.

Reference *

Please provide the name and contact phone number of someone who is a willing and credible reference for your application. e.g. they can verify your community work, volunteering or current challenge.

Supporting documentation (optional)

You may upload any documentation that will strengthen your application.

TERMS & CONDITIONS

By submitting your application, you accept the following terms and conditions;

The application must be completed by the person wanting to attend the course
You must be within 18-26 years of age
Scholarship recipients are responsible for covering the cost of travel to and from Picton (where our courses start and finish)
Scholarship recipients are responsible for covering the cost of completing an Outward Bound medical form with your doctor
As Outward Bound NZ is a non-profit organisation, funding is only available to NZ Citizens and NZ Residents
Ka Mahi scholarship funding is restricted to certain courses and course dates
A post course letter, email or video is asked of successful applicants to share with our donors.

Outward Bound will contact you upon receipt of your application by email or phone within 30 days.

I have read and accept the above Terms & Conditions