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Application for Admission · Application for Admission DOVE SCHOLARSHIP YEAR 9-13 INDEPENDENT...

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Application for Admission DOVE SCHOLARSHIP YEAR 9-13 INDEPENDENT SCHOOLS OF NEW ZEALAND
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Page 1: Application for Admission · Application for Admission DOVE SCHOLARSHIP YEAR 9-13 INDEPENDENT SCHOOLS OF NEW ZEALAND Dove Scholarship Application Form.indd 1 17/01/20 9:42 AM

Application for Admission

D O V E S C H O L A R S H I PY E A R 9 - 1 3

INDEPENDENT SCHOOLSOF NEW ZEALAND

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Page 3: Application for Admission · Application for Admission DOVE SCHOLARSHIP YEAR 9-13 INDEPENDENT SCHOOLS OF NEW ZEALAND Dove Scholarship Application Form.indd 1 17/01/20 9:42 AM

Dove ScholarshipsApplications are invited from aspiring Year 9–13 students who demonstrate the following criteria:

• Aspirational hopes for themselves;

• Personal values and character that fit with Kristin School;

• Personal capabilities or talents that Kristin School would help enhance;

• Add vibrancy and/or diversity to our school community (e.g. ethnicity, socio-economic).

These scholarships are for partial or full reduction of the tuition and enrolment fees to attend Kristin School.

There are typically a couple of full scholarships offered each year, however there can be up to six partial scholarships offering a discount on the tuition fees to attend Kristin School.

The ‘full’ scholarship is offered to students who meet the criteria and can demonstrate a high level of financial hardship (ie. an annual family salary cap and total assets limit) that would prevent them from being able to attend Kristin School.

The ‘partial’ scholarship is available to students who meet the criteria and can demonstrate a modest level of financial hardship (i.e. could be above the annual family salary cap and total assets limit) that would prevent them from paying the full annual tuition fees, but could make a level of financial contribution. The partial discount would be agreed between the school’s Executive Principal in private consultation with the family of the student applying.

For any questions regarding Dove Scholarships at Kristin School please contact Gabrielle McClelland Admissions Manager – [email protected] or phone (09) 415 9566 extn 2324.

SCHOLARSHIP TERMS AND CONDITIONS

– Scholarships are only open to NZ Citizens or Permanent Residents.

– Scholarships are only available to new students entering Kristin School.

– Dove Scholarships are needs based, available to students who for financial reasons would not otherwise be able to attend Kristin School. These students families must meet the financial criteria.*(see over)

– Scholarship families invited to interview will be required to complete a ‘Disclosure of Financial Position’ and submit this along with supporting evidence prior to interview.

– Shortlisted applicants and parents must attend a personal interview with the Executive Principal.

– Scholarships will be awarded to students who show exceptional all-round ability, add diversity to the student population and actively participate in their culture.

– There is an annual review of the performance of the scholarship holder against attitude and commitment criteria and the scholarship may be withdrawn where a recipient’s attitude and/or performance is unsatisfactory, or the scholarship criteria is no longer met.

– The decision of the Executive Principal is final, and no correspondence will be entered into.

– In the event that there are no scholarship applicants who meet the candidate criteria, Kristin School reserves the right not to award any scholarships that year.

To apply for a Dove Scholarship please ensure that you complete the application form and include all items on the checklist. Applications can be submitted anytime before the closing date. You will receive acknowledgement of your application via email.

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All applications, discussions and decisions must be kept strictly confidential by the School and applicants.

When the scholarship period is completed, past scholarship recipients may be approached to share their story about how their Kristin scholarship positively benefited their life journey. Positive testimonials are valuable in the promotion of Kristin’s Dove Scholarship programme, however the school will work with the individual if confidentiality is preferred.

* Financial criteria includes a joint annual gross salary cap for primary caregiver(s) of $100,000 and a total assets limit of $300,000 or less

Please forward your completed application with documents and fee of NZ$50 to:

Admissions ManagerKristin SchoolPO Box 300087Albany 0752Auckland, New Zealand

Phone: 64 (09) 415 9566 Ext 2324Email: [email protected]

STUDENT APPLICATION CHECKLIST

Please include with the completed Dove Scholarship Application Form:

Copy of your two most recent school reports (these must be in English)

Copies of any relevant specialist reports relating to learning abilities, such as an Educational Psychologist report. It is particularly important that complete and accurate information be provided regarding any learning support or special needs for your child. It is essential that full disclosure be made at the time of application.

Photo of applicant.

Copy of the student’s proof of identity and domestic student status.

a/ NZ Citizen: Copy of NZ Birth Certificate or NZ Passport or NZ Citizenship Certificate

b / Citizen of other country: Copy of Passport if the student and parent were born overseas with Residence/Work Visa/Stamp

Declaration Form has been completed and signed.

Application fee of NZ$50 (Please note that this application fee is non-refundable and the acceptance of this fee does not guarantee that an interview or offer of place will be made). Payment of the application fee can be made by cash, cheque, credit card or on-line banking. For on-line banking please use your child’s first name and surname as a reference for our bank statement.

Kristin School’s account details are: 03-1322-0696922-00

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Office use only

NEW ZEALAND CITIZENS and PERMANENT RESIDENTS

Kristin Dove Scholarship Application Form

STUDENT’S DETAILS

FAMILY NAME:

FIRST NAMES:

PREFERRED FIRST NAME: (IF APPLICABLE)

RESIDENTIAL ADDRESS:

POSTCODE:

POSTAL ADDRESS: (IF DIFFERENT)

POSTCODE:

TELEPHONE NO: EMAIL:

DATE OF BIRTH: DAY/MONTH/YEAR / / GENDER: MALE FEMALE OTHER

CURRENT YEAR LEVEL AT SCHOOL: (EG. YEAR 6) YEAR: (EG.2020)

CURRENT SCHOOL APPLICANT ATTENDS:

APPLICATION TO KRISTIN SCHOOL FOR YEAR LEVEL: (EG. YEAR 9) YEAR: (EG.2022)

PRIOR TO AN INTERVIEW, DO YOU AS A PARENT/GUARDIAN GIVE KRISTIN SCHOOL PERMISSION TO CONTACT THE SCHOOL FOR ADDITIONAL INFORMATION? YES NO

WHAT NATIONALITY IS THE STUDENT?

WHAT ETHNIC GROUPS DOES THE STUDENT BELONG TO?

WHICH LANGUAGES DOES THE STUDENT SPEAK?

STUDENTS OF MAORI DECENT MUST COMPLETE THIS SECTION:

IWI: HAPU: MARAE:

WHICH SCHOLARSHIP DO YOU WISH TO BE CONSIDERED FOR? (TICK ONE OR BOTH)

FULL PARTIAL

Please attach photograph of applicant here

A copy of the student’s birth certificate and passport must be provided with this application form.

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CHILD’S DETAILS PARENT 1

CHILD’S DETAILS PARENT 2

CHILD’S DETAILSGUARDIAN/CAREGIVER DETAILS (FOR STUDENTS NOT LIVING WITH PARENTS)

CHILD’S DETAILSFAMILY MEMBERS AT KRISTIN (CURRENT OR PAST)

TITLE: FAMILY NAME:

FIRST NAME: PREFERRED FIRST NAME:

RESIDENTIAL ADDRESS:

POSTCODE:

HOME TELEPHONE NO: MOBILE NO:

BUSINESS TELEPHONE NO: EMAIL:

OCCUPATION: NAME OF COMPANY:

INDUSTRY/AREA OF ACTIVITY: (EG. BANKING, ENGINEERING)

RELATIONSHIP (EG FATHER) FIRST LANGUAGE:

TITLE: FAMILY NAME:

FIRST NAME: PREFERRED FIRST NAME:

RESIDENTIAL ADDRESS:

POSTCODE:

HOME TELEPHONE NO: MOBILE NO:

BUSINESS TELEPHONE NO: EMAIL:

OCCUPATION: NAME OF COMPANY:

INDUSTRY/AREA OF ACTIVITY: (EG. BANKING, ENGINEERING)

RELATIONSHIP (EG MOTHER) FIRST LANGUAGE:

FIRST NAMES: SURNAME:

PREFERRED FIRST NAME: (IF APPLICABLE)

RESIDENTIAL ADDRESS:

POSTCODE:

HOME TELEPHONE NO: MOBILE NO:

BUSINESS TELEPHONE NO: EMAIL:

OCCUPATION: NAME OF COMPANY:

NAME: DOB: YEAR LEVEL:

RELATIONSHIP:

NAME: DOB: YEAR LEVEL:

RELATIONSHIP:

Details of Parents & Guardians

ALUMNIPARENTS OF THE APPLICANT WHO ARE PAST PUPILS OF KRISTIN SCHOOL

NAME:

HOUSE:

NAME:

HOUSE:

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Please forward your completed Dove Scholarship Application with documents and fee of NZ$50.00 attached to:

Admissions ManagerKristin SchoolPO Box 300087Albany 0752 Auckland, New Zealand

ADDITIONAL INFORMATION

PRIVACY ACT

1. We acknowledge that these records will be held and used by Kristin School and any other organisation or group that functions under the auspices of the School for any lawful activity that these bodies undertake.

2. We acknowledge that the information we have provided will be used to determine whether or not the applicant is offered a place at Kristin School.

3. We are aware of our rights to have access to the information, to request correction of it, to be informed of any action taken in response to such a request and to have attached to the information a statement that we have requested a correction. We agree to pay any reasonable charges in connection with these requests.

4. We acknowledge that the information may be provided to education authorities if required by law.5. We authorise the School to obtain any information about the applicant that may be necessary to achieve the purpose of

educating the School’s pupils and to disclose any information obtained during the course of the applicant’s education to the applicant’s parents.

6. We acknowledge that if any information required by this application form is not provided, the application may be rejected.7. We agree to our name, address and contact details being included on a class list for circulation to all parents in our child’s

year level.

8. We declare that the information contained in this application is true and complete. We understand that any false or incomplete information submitted in support of this application may invalidate this application and may result in the withdrawal of an Offer of Place. We agree that we have received sufficient information to make an informed decision about enrolment at Kristin School.

I/We have read the above statement relating to the Privacy Act and agree to these conditions. I/We hereby submit an application for a place at Kristin School.

Signature of Parent 1: _____________________________________________ Date: ____________________

Signature of Parent 2:_____________________________________________ Date: ____________________

Signature of Applicant if over the age of 16:___________________________ Date: ____________________

HOW DID YOU FIRST HEAR OF KRISTIN SCHOOL (EG FACEBOOK/ROAD SIGNAGE)?

PLEASE ADD ADDITIONAL INFORMATION ON ACADEMIC AND CULTURAL INTERESTS, INVOLVEMENT IN SPORTS AND LEADERSHIP ROLES:

Declaration Form

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S U C C E S S I S N O A C C I D E N T. I T I S H A R D W O R K , P E R S E V E R A N C E ,

L E A R N I N G , S T U D Y I N G , S A C R I F I C E &

M O S T O F A L L , LO V E O F W H AT Y O U A R E D O I N G

O R L E A R N I N G T O D O .P E L E

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Page 9: Application for Admission · Application for Admission DOVE SCHOLARSHIP YEAR 9-13 INDEPENDENT SCHOOLS OF NEW ZEALAND Dove Scholarship Application Form.indd 1 17/01/20 9:42 AM

KRISTIN 1 – EAST COAST BAYS 1

7:15 Cnr Gills Road and Highway 17Proceed along Gills RoadR - Lonely Track RoadL - East Coast RoadR - Okura River Road (turn at Community Hall)L - East Coast RoadL - Glenvar RoadR - Stredwick AveL - Awaruku RoadR - Glenvar RoadR - Beach RoadR - Ellangowan RoadL - Deep Creek RoadR - Weatherly RoadL - Glamorgan DriveL - East Coast RoadR - Oteha Valley Road Proceed Albany HighwayR - Kristin School

Afternoon service in reverse

7:20 Cnr Sunrise Avenue and Beach RoadL - Beach RoadR - Browns Bay RoadL - Anzac RoadR - Beach RoadL - Ellangowan RoadL - Deep Creek RoadR - Firth RoadProceed Carlisle RoadL - East Coast RoadR - Rosedale RoadL - Albany HighwayR- Kristin School

Afternoon serviceL - Albany HighwayR - Rosedale RoadR - Triton DriveR - Arrenway DriveR - Apollo DriveL - Antares Place (Millennium as reqd)R - Apollo DriveR - Rosedale Road

Service in reverse of morning

KRISTIN 2 – EAST COAST BAYS 2 KRISTIN 3 – TAKAPUNA/MILFORD

7:25 Cnr Hurstmere Rd & Killarney StL - Killarney StreetR - Taharoto RoadR - Shakespeare RoadL - East Coast RoadR - Castor Bay RoadL - Beach RoadL - Aberdeen RoadR - East Coast RoadL - Sunset RoadR - Meadowood DriveR - Caribbean DriveL - Upper Harbour HighwayR - Albany HighwayL - Kristin School

Afternoon service in reverse

KRISTIN 4 – NARROW NECK

7:15 Cnr Albert Road and Vauxhall RoadProceed Vauxhall RoadL - Church StreetL - King Edward ParadeL - Cheltenham RoadL - Tainui RoadR - Vauxhall Road – no pick upProceed Old Lake RoadR - Hamana StreetProceed Seacliffe AvenueL - Winscombe StreetR - Lake RoadLast pick up before Hauraki CornerKristin School

Afternoon service in reverse

7:25 Cnr Esmonde RoadL - Lake RoadR - Anzac StreetL - Hurstmere RoadProceed Kitchener RoadR - Milford RoadL - Craig RoadL - Omana RoadR - Inga RoadProceed Beach RoadL - Sunrise AvenueR - East Coast RoadL - Rosedale RoadL - Kristin School

Afternoon service in reverse

KRISTIN 5 – ESMONDE RD/MILFORD KRISTIN 6 – STANLEY POINT

7:15 Cnr Stanley Point & Second AveProceed Stanley Point RoadProceed Calliope RoadL – Victoria RoadR - Albert RoadL - Lake RoadR - Clifton RoadL - Hauraki RoadR - Lake RoadLast pick up in Hauraki RoadKristin School

Afternoon service in reverse

Kristin School Bus Routes

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KRISTIN 7 – BIRKENHEAD 1

7:15 Birkenhead WharfProceed Hinemoa StreetR - Wakanui StreetL - Maritime TerraceR - Hinemoa StreetL - Mokoia RoadL - Porritt AvenueL - Chelsea View DriveR - Onetaunga RoadR - Balmain RoadL - Waipa StreetL - Rangatira RoadR - Beachhaven RoadR - Birkdale RoadL - Eskdale RoadL - Glenfield RoadProceed Albany HighwayL - Kristin School

Afternoon service in reverse

7:25 – Bridgeway TheatreProceed Queen StreetL – Onewa RoadR – Gladstone RoadL – Woodside AvenueR – Kawana StreetL – Lake RoadL – Raleigh RoadR – Potter AvenueL - Ocean View RoadL - Eban AvenueR - Sylvia RoadL – Lynden AvenueR - Coronation RoadL - Sunnybrae RoadR - Porana RoadR - Wairau RoadL - Forrest Hill RoadL - Blakeborough DriveL - Grenada AvenueR - Becroft DriveL – Sunnynook RoadR - Target RoadProceed Caribbean DriveL - Upper Harbour HighwayL - Kristin School

Afternoon service in reverse

KRISTIN 8 – NORTHCOTE/FORREST HILL KRISTIN 9 – WHENUAPAI/WEST HARBOUR

7:10 Cnr Kingsway Rd & The TerraceR - Ferry ParadeL - Alison AvenueL - The TerraceProceed Kingsway RoadR - Kauri RoadL - Puriri RoadR - Waimarie RoadL - Totara RoadL - Brigham Creek RoadProceed Trig RoadL - Hobsonville RoadR - Luckens RoadL - Lagoon WayR - Picasso DriveL - Marina View DriveR - Wiseley RoadR - Hobsonville RoadProceed Upper Harbour MotorwayL - Albany HighwayL - Kristin School

Afternoon service in reverse

KRISTIN 10 – WAIMAUKU/PAREMOREMO

7:05 Park n Ride SH 16Proceed State Highway 16L - Coatesville Riverhead HighwayR - Wake RoadL - Ridge RoadR - Brookdale RoadProceed Paremoremo RoadProceed The AvenueR - State Highway 17R - Albany HighwayR - Kristin School

Afternoon service in reverse

7:05 Cnr Titirangi Road and Park RoadProceed Titirangi RoadStop Titirangi Shops (o/s Barossa)R - Atkinson RoadL - Kaurilands RoadProceed Glendale RoadL - West Coast RoadProceed Parrs Cross RoadR - Forrest Hill RoadR - Henderson Valley RoadL - Great North RoadL - Lincoln RoadProceed North Western MotorwayKristin School

Afternoon service in reverse

KRISTIN 11 – TITIRANGI EXPRESS KRISTIN 12 – WAITAKERE

7:00 Taupaki HallTaupaki RoadOld North RoadR - Old Railway RoadL - Coatesville Riverhead HighwayR - Glenmore RoadL - Ridge RoadL - O’Brien RoadR - Coatesville Riverhead HighwayR - State Highway 17R - Albany HighwayR - Kristin School

Afternoon service in reverse

FOR DETAILED INFORMATION ON STAGES PLEASE REFER TO OUR WEBSITE WWW.KRISTIN.SCHOOL.NZ

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KRISTIN 13 – GULF HARBOUR

7:05 End of Alec Craig Way on Gulf Harbour DriveProceed Gulf Harbour DriveProceed Shakespear RoadProceed Whangaparaoa RoadProceed to Pacific PlazaR - Stanmore Bay RoadL - Brightside RoadR - Langton RoadL - Vipond RoadR - Whangaparaoa RoadR - Marellen DriveL - Bay StreetR - Red Beach RoadL - Hibiscus Coast HighwayL - East Coast RoadR - Oteha Valley RoadProceed Albany HighwayR - Kristin School

Afternoon service in reverseVia Silverdale Shops in afternoon only

7:00 WaiweraProceed Hibiscus Coast HighwayR - West Hoe RoadL – Grand DriveL – Arran DriveL – Millwater ParkwayR - Hibiscus Coast HighwayProceed Dairy Flat HighwayR - Albany HighwayR - Kristin School

Afternoon service in reverse

KRISTIN 14 – WAIWERA/DAIRY FLAT KRISTIN 15 – CITY (WESTMERE)

7:25 Cnr Pt Chevalier Rd and Dignan StR - Walford RoadL - Meola RoadL - Garnett RoadR - West End RoadR - Jervois RoadL - Curran StreetOver Harbour Bridge to Kristin School

Afternoon serviceOver Harbour BridgeShelley Beach Road

Reverse of morning service

KRISTIN 16 – CITY (BRITOMART)

7.50am Enter Schnapper Rock RoadL - Kittiwake Drive (loops back)L - Schnapper Rock RoadR - Aberley RoadL - Schnapper Rock RoadL - Oakway DriveL - Albany HighwayL - Kristin School

Afternoon service in reverse

KRISTIN 17 – SCHNAPPER ROCK KRISTIN 18 – MATAKANA/WARKWORTH

(Warkworth Taxis/Buses)6.45am Cnr Sharp Road & Sandspit RoadMatakana SchoolR - Sandspit RoadL - Elizabeth StreetL - Queen Street7.14am Warkworth Visitor Information CentreR - Neville StreetProceed Whitaker RoadL - State Highway 1Stop at Puhoi turn off(Metal dump just north of Puhoi turn-off)Northern Gateway Motorway to Kristin School

Afternoon service in reverse

7:10 Cnr Tainui Road and Vauxhall RoadProceed Vauxhall RoadL – Old Lake RoadR – Lake RoadL – Roberts AvenueProceed Norwood RoadProceed Marine TerraceR - Bayswater AvenueL - Lake RoadL - Bardia StreetR - Creamer AvenueR - Eversleigh RoadL - Northboro RoadR - Jutland RoadL - Lake RoadKristin School

Afternoon service in reverse

KRISTIN 19 – BAYSWATER KRISTIN 20 – GREENHITHE

7:30 Cnr Upper Harbour Drive and Greenhithe RoadProceed Upper Harbour DriveR - Tauhinu RoadR - Greenhithe RoadL - Roland RoadR - Kingfisher GroveL - Roland RoadL - Greenhithe RoadL - Upper Harbour DriveL - Albany HighwayL - Kristin School

Afternoon service in reverse

7:25 Customs St – Just past Gore St facing WestProceed Fanshawe StreetL - Halsey StreetProceed around Victoria ParkProceed up College HillProceed along Jervois RoadR - Masons RoadR - Argyle StreetProceed along Sarsfield StreetL - Curran StreetOver Harbour Bridge to Kristin School

Afternoon serviceOver Harbour Bridge / Shelley Beach Road / Sarsfield Street / Argyle StreetHerne Bay RoadReverse of morning service. Final drop off outside Old Post Office at Britomart

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Please forward your completed Dove Scholarship Application Form to our Admissions Manager:

Admissions ManagerKristin SchoolPO Box 30087Albany, Auckland

t: +64 9 415 9566 ext 2324e: [email protected]

To book a place on a School Tour, please register your attendance via our website.

www.kristin.school.nz

Contact

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