S C H O L A R S H I P A P P L I C A T I O N F O R M

Tertiary scholarship for women studying science, technology, engineering or mathematics.

Government Communications Security Bureau

The Government Communications Security Bureau (GCSB) contributes to the protection of New Zealand’s national security, the international relations and well-being of New Zealand, and New Zealand’s economic well-being.

We do this by providing:

• Information assurance and cyber security;

• Intelligence collection and analysis; and

• Co-operation with other New Zealand public authorities.

GCSB ensures the integrity and confidentiality of government

information, and investigates and analyses cyber incidents against

New Zealand’s critical infrastructure. To keep New Zealand safe we

need people who are skilled and knowledgeable in computer

science, cyber security, technology, science, mathematics, computer

engineering and data science.

GCSB needs to represent the society we serve and that includes

ensuring we encourage women to study subjects that may assist

them to gain a position with GCSB.

Scholarship value

The value of this award is $10,000, which can be spread

over three years depending on your study plans. Note,

no more than $5,000 will be allocated in any one year.

Eligibility

Open to female second year tertiary students and above

(including Honours and Masters students) intending to

take a full-time course of study in science, technology,

computer engineering, mathematics, data science and

cyber security at any New Zealand tertiary institution.

Selection criteria

To be eligible for GCSB Tertiary Scholarship,

applicants must be:

• Female students over the age of 18 years.

• Have been a New Zealand citizen for at least 10 years or hold New Zealand Permanent Residence or hold a current New Zealand Residency Class Visa and have been a citizen of United Kingdom, Canada, United States of America or Australia for at least 10 years.

• Have enrolled, or been accepted to enrol, in a full time degree majoring in science, technology, engineering and mathematics (STEM) at an approved NZQA accredited tertiary provider in New Zealand for the next academic year.

• Be eligible to obtain and keep a national security clearance.

Number of scholarships

Up to three scholarships may be awarded of which

one will be dedicated to a Maori/Pacifica candidate.

How will applications be assessed?

• Academic achievement & excellence

• Honours and awards

• Life and work experience

• Proven leadership qualities and/or experience

• Career aspirations

• Voluntary work (including coaching and mentoring)

Decision makers

The successful candidate/s will be selected by a

panel consisting of the Director-General of the

GCSB, a representative from People and Capability,

representatives from the relevant areas of GCSB

and an academic who specialises in STEM subjects.

Application timeframe

Applications open on 1 June and close on 1 October.

Decision time

The successful scholarship winner/s will

be notified by 31 October.

How to apply

To download a full application form go to:

gcsb.govt.nz/working-for-us/gcsb-women-in-stem-scholarship/

Complete the application form and submit this

with a copy of your academic transcript to:

scholarship@nzic.govt.nz

For all general enquiries email

scholarship@nzic.govt.nz or phone the

GCSB Learning and Development, People

and Capability Team on 04 472 6881.

GCSB Scholarship application information

GCSB SCHOLARSHIP APPLICATION

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Application

Surname

First names

Previous names

Title

Known as

Personal information

Degree Name

Tertiary Institution

Papers

Current or intended degree

Papers

Intended postgraduate study (if any)

Mailing address

Permanent address

(if different from above)

Mobile phone

Email address

Home phone

Contact details

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Brief Outline

Research topics (if any)

Why did you elect to study your chosen degree programme?

Why do you think you should be considered for this scholarship?

What are your future career ideas?

Study and career outline

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Tell us what you think are the key security threats to New Zealand (maximum 500 words).

Study and career outline, continued

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Higher Education Institutions attended and qualifications received/in training (School University/Polytech, etc). Please attach copies of your academic transcripts.

Are you competent in any language other than English?

Name

Address

Title of qualification

Date received/expected

Dates attended

Language

Speak

Read

Write

Language

Speak

Read

Write

Name

Address

Title of qualification

Date received/expected

Dates attended

Name

Address

Title of qualification

Date received/expected

Dates attended

Education

Languages

Yes No

If yes, please state which languages and your level of competency in each (slight, good, fluent or bilingual)

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Date of birth

Place of birth

Nationality at birth

Ethnicity

(tick all that you identify with)

Present nationality

Date of change to NZ citizenship

(if different from above)

NZ Residency Status

(if not a NZ citizen)

Dual nationality

(if yes please specify)

Passport number

Year granted

Date of arrival in NZ

(if applicable)

Country of issue

Country

Your date of birth and nationality

Yes No

If you are a legal adoptee, information is still requested. Enter the details of your adoptive parents and state your age when adopted. If brought up by a step-parent(s), guardian or anyone acting as a parent, attach a separate sheet.

If those listed are deceased, information is still required.

SECURITY INFORMATION required for New Zealand Security Intelligence Service (NZSIS). The following information will assist us to ascertain if you would meet the criteria for any future employment opportunities that may be available post your graduation.

Surname

Address

Date of birth

Nationality at birth

Present nationality

Occupation

Father

First names

Place of birth

Family details

European

Maori

Pacific Peoples

Asian

Middle Eastern/Latin American/African

Other Ethnicity

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Surname

Address

Date of birth

Nationality at birth

Present nationality

Occupation

Mother

First names

Place of birth

Partner

(Please give details of spouse, de facto or fiancée)

Surname

Address

Date of birth

Nationality at birth

Present nationality

Occupation

First names

Place of birth

Family details, continued

Full name

Relationship

Country of residence

Do you have any other immediate family members (not listed above) who reside overseas? Yes No

Other

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List all countries (other than New Zealand) in which you have lived in for 6 months or more within the last 15 years (Continue on separate sheet if necessary).

From

Country lived in

Reason for visit/stay

To

From

Country lived in

Reason for visit/stay

To

From

Country lived in

Reason for visit/stay

To

From

Country lived in

Reason for visit/stay

To

From

Country lived in

Reason for visit/stay

To

From

Country lived in

Reason for visit/stay

To

Overseas country of residence

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Do you hold a drivers licence, permitting you to drive in New Zealand?

The Criminal Convictions (Clean Slate) Act does not apply when an application is made for future employment in a position involving the national security of New Zealand.

Do you have any medical conditions or physical disabilities which mean that you would, or could, be impaired in carrying out your study?

Do you have a criminal record?

Please provide details:

If yes, please specify

Driver licence

Criminal record

Health

Yes No

Yes No

Yes No

Full CarRestricted TruckLearners Motocycle

NZ Driver License number

(if applicable)

If yes to either question above, please give details

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Have you ever held a Government security clearance?

By submitting this application I acknowledge that the information I have provided may be held and used by the New Zealand Security Intelligence Service for the purpose of conducting security checks to enable an assessment of my current and on-going suitability to be sponsored by the Government Communications Security Bureau.

By submitting this application I acknowledge that the New Zealand Security Intelligence Service may use the information provided to obtain personal and financial information about me (including convictions and any no-conviction information, and other records covered by the Clean Slate Act) held by the New Zealand Police, any other New Zealand government agency, and/or any other law enforcement, security and/or intelligence agency of any other country.

I consent to information from these sources being released to, or accessed by the New Zealand Security Intelligence Service for the purpose of conducting security checks and security clearance vetting assessments.

If you give any information which you know to be false, or if you withhold relevant information, this may lead to your application being rejected.

I declare that the information I have given is, to the best of my knowledge and belief, true and complete.

Security clearance

Declaration

Yes No

Yes No

Yes No

Yes No

If yes, please state the country, level of clearance and year issued

Signature Date

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