Tertiary scholarship for women studying science, technology, engineering or mathematics. Government Communications Security Bureau
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1 Government Communications Security Bureau Tertiary scholarship for women studying science, technology, engineering or mathematics. SCHOLARSHIP APPLICATION FORM
2 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.
3 GCSB Scholarship application information Scholarship value The value of this award is $10,000, which can be spread over three years depending on your study plans. te, 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-instem-scholarship/ Complete the application form and submit this with a copy of your academic transcript to: scholarship@nzic.govt.nz For all general enquiries scholarship@nzic.govt.nz or phone the GCSB Learning and Development, People and Capability Team on
4 Application GCSB SCHOLARSHIP APPLICATION Personal information Surname Title First names Known as Previous names Contact details Mailing address Permanent address (if different from above) Mobile phone Home phone address Current or intended degree Degree Name Tertiary Institution Papers Intended postgraduate study (if any) Papers 4
5 Research topics (if any) Brief Outline Study and career outline 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? 5
6 Study and career outline, continued Tell us what you think are the key security threats to New Zealand (maximum 500 words). 6
7 Education Higher Education Institutions attended and qualifications received/in training (School University/Polytech, etc). Please attach copies of your academic transcripts. Name Dates attended Address Title of qualification Date received/expected Name Dates attended Address Title of qualification Date received/expected Name Dates attended Address Title of qualification Date received/expected Languages Are you competent in any language other than English? If yes, please state which languages and your level of competency in each (slight, good, fluent or bilingual) Language Language Speak Speak Read Read Write Write 7
8 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. Your date of birth and nationality Date of birth Place of birth Country Nationality at birth Ethnicity (tick all that you identify with) European Maori Pacific Peoples Asian Middle Eastern/Latin American/African Other Ethnicity Present nationality Date of change to NZ citizenship (if different from above) NZ Residency Status (if not a NZ citizen) Date of arrival in NZ (if applicable) Year granted Dual nationality (if yes please specify) Passport number Country of issue Family details 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. Father Surname First names Address Date of birth Nationality at birth Place of birth Present nationality Occupation 8
9 Family details, continued Mother Surname First names Address Date of birth Nationality at birth Place of birth Present nationality Occupation Partner (Please give details of spouse, de facto or fiancée) Surname First names Address Date of birth Nationality at birth Place of birth Present nationality Occupation Other Do you have any other immediate family members (not listed above) who reside overseas? Full name Relationship Country of residence 9
10 Overseas country of residence 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 To Country lived in Reason for visit/stay From To Country lived in Reason for visit/stay From To Country lived in Reason for visit/stay From To Country lived in Reason for visit/stay From To Country lived in Reason for visit/stay From To Country lived in Reason for visit/stay 10
11 Driver licence Do you hold a drivers licence, permitting you to drive in New Zealand? If yes, please specify Full Restricted Learners Car Truck Motocycle NZ Driver License number (if applicable) Criminal record 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 a criminal record? Please provide details: Health Do you have any medical conditions or physical disabilities which mean that you would, or could, be impaired in carrying out your study? If yes to either question above, please give details 11
12 Security clearance Have you ever held a Government security clearance? If yes, please state the country, level of clearance and year issued Declaration 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. 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. I declare that the information I have given is, to the best of my knowledge and belief, true and complete. Signature Date 12
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