Scholarship Application Form

To apply for a Ballance Agri-Nutrients Scholarship, fill out the following form, read the privacy statement and terms and conditions, then click on the submit button. Successful applicants will be contacted in January and will be asked to supply a high-quality colour photo (print or digital) for use in publicity.

Personal details

First Name

Last Name

Street Address

PO Box or Private Bag Number

Suburb or RD Number

Town or City

Postcode

Phone (home):

Phone (term)

Mobile

Email address

Shareholder number

Relationship to shareholder (or relationship to Ballance employee)

Date of birth (dd/mm/yyyy)

Secondary education details

Name of secondary school attended

Year commenced

Year completed (or to be completed)

Highest school qualification

Tertiary education details

Name of tertiary institute (proposed or actual)

Course of study (proposed or actual)

Year commenced

Tertiary academic record

Do you receive any other financial assistance (e.g. other scholarships held, student allowance received)

General information

Work experience

Sporting activities

Cultural activities

Community activities

What are your plans once you have completed your course of study?

Tell us about your most satisfying achievement to date

Any additional comments

Names, positions and contact details of any referees who may support your application

I agree to the terms and conditions of the scholarship, as set out below.

Privacy statement

The information requested in the application form will be used for the sole purpose of assessing your application for the scholarship. Your application will remain confidential to Ballance Agri-Nutrients and will be returned in the event that you are unsuccessful.

Terms and conditions

Ballance Agri-Nutrients offers four scholarships, worth $4,000 each, for a period of up to three years.
Three of these scholars will undertake study in the primary industry field with the fourth being reserved for study in the field of engineering.
The scholarships are open to any direct members of a shareholderâ€™s family or company employee. Students who have already commenced tertiary study are eligible.
The tertiary institution where study will be undertaken is the choice of the scholar.
The scholar must maintain an adequate academic record and not bring the scholarship or Ballance Agri-Nutrients into disrepute. The scholarship will be reviewed and renewed during its three-year term.

Ballance has purchased a large share of two of New Zealand’s leading animal nutrient manufacturers;...