Oppenheim Trust - Application Form
The Oppenheim Trust is here to help you achieve your study and career goals.
Here how you can help us process your application:
1.
Download and read the Oppenheim Applicant Guide.
If you have any questions, email us at
Oppenheim@BlindlowVision.org.nz
, or phone
0800 24 33 33.
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2. Check that you have the following supporting documents to submit with your application as separate, electronic files such as Word, PDF or JPG:
•
A cover letter written by you (the applicant)
•
Enrolment confirmation from your institute of study
•
An invoice or quote for the cost of study
•
Your results from your previous courses/studies
•
Letters of support
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Prerequisites
Are you a full member of Blind Low Vision NZ?
Yes
No
I don't know
Important Note
The Oppenheim Trust tertiary education fund is reserved for Blind Low Vision NZ clients and members. To begin your registration journey, or to check your status, call
0800 24 33 33
to speak to one of our helpful staff.
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Your Personal Details
Title
Please select...
Mr
Mrs
Ms
Miss
Dr
Prof
Rev
Dame
Sir
Lady
Father
Sister
Brother
Lord
Master
Pastor
The Hon
The Right Hon
First Name
Middle Name
Last Name
Known as
Date of Birth
Student Number
Blind Low Vision NZ Member Number (if known)
Your Contact Details
What is your call preference?
Please select...
Landline
Mobile Phone
Work Phone
Landline number (Home phone)
Mobile phone number
Work phone number
Email
Details of Assistance Sought
Your current or planned tertiary course of study
Education Provider
Degree Name
Year of Study
Level of study
Please select...
Undergraduate
Postgraduate
Full time or part time?
Please select...
Full-time
Part-time
Courses/Papers enrolled in
Cost of Course Fees
This excludes administrative or registration fees
Previous tertiary studies
Which other tertiary studies have you previously undertaken?
Previous Grades
Previous Oppenheim Applications
Please list all of your previous Oppenheim applications
Previous Grant Amount
Your Financial Details
What is your monthly income after tax
What is your monthly expenditure?
What amount are you applying to the Oppenheim Trust for?
Your Supporting Documents and Application Checklist
Please upload your supporting documents as separate files using the button "Choose File" on each of the required items below. This will open a system dialogue where you can choose files from your hard drive.
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If you are unable to supply any of the documents at the point of application, y
ou must ensure to provide the outstanding documents prior to the closing date via email to
oppenheim@blindlowvision.org.nz
. I
ncomplete or late applications will not be considered.
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Can you provide a cover letter
?
Yes
No
Attach the Cover Letter
Please explain, why you cannot supply a cover letter right now
Can you attach an enrolment confirmation?
Yes
No
Attach the the enrolment confirmation
Please explain, why you cannot supply an enrolment confirmation right now
Can you attach an i
nvoice or quote for the cost of study?
Yes
No
Attach the the invoice or quote
Please explain, why you cannot supply a quote or invoice right now
Can you attach results from previous courses/studies
?
Yes
No
Attach results from previous courses/studies
Please explain, why you cannot supply results from previous courses/studies right now
Can you attach letters of support
?
Yes
No
Attach letters of support
Please explain, why you cannot supply letters of support right now
Before you submit your application
Declaration
I declare that the information in this application is true, correct and complete in every particular to the best of my knowledge.
Yes, I confirm
Your Rights & Privacy
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Blind Low Vision NZ is committed to protecting your privacy and works in accordance with the Privacy Act 2020. Click here to find out about the Privacy Act 2020.
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