Tupu Program application form Date of application * MM DD YYYY Applicant name * First Name Last Name Date of birth * MM DD YYYY Email * Phone * (###) ### #### School Address Ethnicity Guardian name First Name Last Name Phone (###) ### #### Email Relationship to applicant Address Please answer all questions openly and honestly, there are no right or wrong answers. Everything in this application will be confidential, so will not be shared with anyone except those who are selecting people for this leadership program. Are you currently in school? If yes, which school are you enrolled in? If no, what was the last school you were enrolled in and why did you sign out? Tell us a bit about yourself What are your hobbies, what do you enjoy doing in your spare time? When you are given positions of leadership, how do you react? Describe your relationship with exercise and fitness Do you enjoy it or hate it? How often do you currently exercise? Do you think exercise is important to the lifestyle you want to live? Do you think exercise is important for good health? Do you know much about your whakapapa and family history? If yes, tell us what you know? How do you feel when you think about your whakapapa? Do you have a drivers license? What class? Have you got a current first aid certificate? Do you embrace new challenges or steer away from them? Do you like hanging out with people or prefer to spend time by yourself? Do you have dreams and aspirations for the future? If yes, what are they? Where do you see yourself in two years from now? Tell us something interesting about you What are some of the biggest challenges in your life that you are currently working through? Do you have any history of bullying or trouble with the law? If so please provide some detail around this. (Note: your answers will not negatively impact your application. We would really value your honesty if this applies to you). Why do you want to be selected for the Taku Wairua Tupu program? Thank you for completing our application form, we’ll be in touch with you soon