Application for CDS Scholarship

Applicant Name*

First Last

Postal Address*

Street Address City ZIP / Postal Code

Referred to Scholarship Program by

Phone

Mobile*

Email*

Employer

NKBA Member?

Yes
No

Region*

Applicants Manager’s Name*

First Last

Employers Address*

Street Address City

Position within the Company*

Study Details

Are you a legally entitled to Work and/ or Study in New Zealand?*

Yes
No

Have you applied for an NKBA or CDS Scholarship in the past?*

Yes
No

Please provide further information*

Have you have enrolled to study Kitchen Design in the past?*

Yes
No

Please provide further information

Reference Phone Number*

Reference Name*

First Last

To Be Included with your Application Form

500 Word Summary of reason for application*

Why you should be awarded the scholarship over your peers?

Supporting documentation or portfolio to your application*

Relevant certificates/achievements, resume, sketches and/or Photographs. Please compress into a zip file.

Do you consent to the Certified Designers Society retaining the information contained in this application form for the purposes of ongoing professional development opportunities in the future?*

Yes
No

Declaration and Consent

I declare that to the best of my knowledge the information provided in this application and in my resume / CV is accurate. I accept that an authorised CDS or BCITO official may visit and me or the business I am employed by as part of the application process. I understand the importance of participating in NKBA events and undertake, when possible, to attend Chapter Meetings and the Annual Conference/AGM. I understand that the NKBA logo can only be used by NKBA Financial Members. I agree to abide by the Associations current constitution, which is available to Financial Members at the NKBA registered office or upon request. I agree to receive NKBA electronic newsletters or mail-outs. Privacy Act: The above information is required to consider your application for scholarship for NKBA / BCITO courses. Your signature on this application form also gives NKBA consent to circulate your contact details to NKBA members and publications.

Signature*