NZCA National Certificate of Education

Achievement Awards

NCEA (Level 3) or

International Baccalaureate (DP) or

CambridgeInternational Examination (A or AS Levels)

(2016 Awards based on 2015 Examination results)

INFORMATION FOR APPLICANTS

Applicants may only make ONE application for any NZCA Academic Award in any corresponding year, EXCEPT if they are also applying for the NCEA Level 3 Chinese Award.

Multiple applications for different NZCA Academic Awards (not including the NCEA Level 3 Chinese Award) in any corresponding year by the same applicant will NOT be considered.

  1. Each NZCA NCEA Achievement Award for the abovewill have a value of $250. Up to five awards will be given out annually, one award to each of five students provided each student has attained a satisfactory standard of NCEA Level 3 or CIE A or AS Levels, or IB DP examinations in the previous year.
  1. Applicants of the award will:

a)Have studied in a New Zealand secondary school for at least ONE year.

b)Be of Chinese descent.

c)Be a permanent resident of New Zealand.

d)Be under of the age of 20 years at the time of sitting examination.

e)Is a financial member of, or the daughter or son of a person who is a financial member of a branch of the New Zealand Chinese Association for more than twelve months at the time of application closing date (local branch Secretary, please check and confirm this).

5. Applications must be made on the official form obtainable from your local Branch of the New Zealand Chinese Association.

6. Candidates must complete and fill in all the details as requested in the form.

7. Candidates must submit certifiedhard copies by the Senior Dean, Principal or the Justice of the Peace the following: the NCEAResult Notification (Qualification and Achievement Summary, Standards Achieved) sheets showing results and credits of subjects and standards achieved or CIE A or AS Levels, or IB DP examination results showing grades and numerical results of subjects.

8. The application must be accompanied by a testimonial from your school Principal or a Senior Dean, who has access to your academic record.

9. Selection of winners of the awards will be made by the Education/Cultural Sub-Committee of NZCA. This Committee will base their decision on the applicant’s academic achievements as shown by the examination results. In the event of a close tie between applicants, consideration will be given to attainment of school performance during the year.The committee’s decision will be final.

10. Successful applicants will be notified via the Branches. Any queries should be made to theSecretary of your local branch.

Completed application forms and the necessary documentation must reach yourLOCAL BRANCHSECRETARY by 30 April2016.

APPLICATION FOR NCEA (Level 3)or CIE (Aor AS Levels)or IB DP AWARD (Page 1)

PERSONAL DATA

Name of Applicant (in English):

______

Name of Applicant (in Chinese): ______

Address:

______

Telephone:e-mail:

______

Date of Birth:______Gender:Male / Female

Place of Birth:______

Are you (or your parent/s) a member of your local Branch?Yes / No

Name of your local Branch:______

EDUCATION

Secondary School(s) AttendedCity/TownYear (s)_____

______

______

______

APPLICATION FOR NCEA (Level 3)or (Aor AS Levels) or IB(DP) AWARD (Page 2)

Results -:

Year SubjectGrade (E, M, A or NA or other)_Number of credits

______

______

______

______

Please Attach: Certified hard copies of results of:

NCEA (Level 3)or Cambridge (A or AS Levels), or International Baccalaureate DP Examination

NCEA Examination Result Notification,

Qualification and Achievement Summary,

Standards Achieved

School Testimonials

CERTIFICATION

I certify that the enclosed information is correct to the best of my knowledge.

Applicant’s Signature: ______Date : ______

Verified by : ______Branch of NZCA

Signed :______Date:______

TESTIMONIALS ON ACADEMIC PERFORMANCE (Page 3)

Applicant’s Name:

______

(Surname)(Given Names) (Chinese Name)

Home Address:

______

In what capacity and how long have you known the applicant?

______

Please comment on the applicant’s academic performance, school ranking and efforts during his/her year sitting any or a combination of NCEA Level 3, Cambridge International A or AS Levels or International Baccalaureate DP. (Attach a separate sheet if necessary).

______

______

______

Testimonial supplied by:

______

Position Held:

______

School:

______

School Address:

______

Signature: ______Date: ______

Please send all forms to: The Secretary of your local Branch of NZCA by 30 April 2016.