Toloa Application Form 2018

Section 1: Applicant Profile

Note: A copy of your passport or birth certificate is required. Please attach at the end.

Section 2: Academic Record


Candidates for STEM undergraduate degrees must have achieved NCEA Level 3 with Merit or Excellence passes in STEM subjects relevant to the proposed degree course.

For undergraduate degree applications, please upload both your NCEA Level 2 results and your NCEA Level 3 results at the end.


For postgraduate degree applications, please provide a full transcript of your undergraduate degree results at the end.

Section 3: Background



Please name the members of your family who have achieved tertiary qualifications, your relationship to that person (e.g. mother, father, sister, brother, cousin), the qualification achieved, and the year
Please list details of any academic, Pacific, community or cultural awards and/or scholarships you have received. Include the name of the award/scholarship, date awarded, amount awarded, duration of the award/scholarship and purpose.

Section 4: Course of study

Section 5: Key Selection Criteria

In 100-250 words, list the different roles that you have held in the Pacific communities, and explain what you did in that role..
In 100-250 words describe the different leadership roles you have held and outline the leadership qualities that you used in order to lead well in each of those roles.
Explain in 100-250 words your study plan and your career aspirations.
If successful, describe in 100-250 words the impact that this scholarship will have on your family and community.


Please attach character references from two independent referees at the end. The reference will explain how long they have known you, how they know you, illustrate your ability to meet the criteria of the scholarship, your potential to advancing positive outcomes in the Pacific community and why you deserve a STEM scholarship.

The referees must be of appropriate standing (e.g. a church minister, school teacher, school principal, youth worker etc.) For school leavers one referee should be from their last secondary school. The references will be confidential to the selection panel. Please attach these to the checklist at the end.

Section 6: Declaration

Complete the following:


Please ensure attachments are labelled clearly.


How your information will be used

I understand that:

  1. The Ministry for Pacific Peoples (The Ministry) is collecting the personal information from me for the purposes of the Toloa STEM Scholarships.
  2. My personal information is provided to the Ministry for the purposes of processing my application and for Toloa Scholarship promotional purposes in some cases and I authorise my personal information to be used for these purposes.
  3. The Ministry is collecting and holding the information and the address is: Ministry for Pacific Peoples, Level 1, 101 to 103 The Terrace, PO Box 833, Wellington. The Ministry can be contacted by email at:
  4. My personal information is being provided voluntarily. If all the information requested is not provided, there are no consequences except where it may affect eligibility for applying for the Scholarship. I am entitled to have access to and to request correction of the personal information held by The Ministry.

By typing your name here, you are electronically signing this form. A copy of your email and form will be kept for our records.


Incomplete applications or late applications will not be considered.

For further enquiries please email or call 04 473 4493 to speak to Jae Stowers.