STUDENT ALLOWANCE/STUDENT LOAN/SCHOLARSHIP

LIMITED FULL-TIME
APPLICATION FORM
COMPLETE this form if you would like to apply for limited full-time STATUS because you
are unable to study full-time.

Usually you need to be studying full-time to get a Student Allowance, Student Loan or scholarship. If youre unable to
undertake the workload of a full-time course you may still be able to get financial help under limited full-time status if
you have one of these circumstances:

Youre finishing a recognised programme and to do this you need to study less than full-time but more than half
of a full-time course1.
Or
Your education provider considers you should study less than full-time for one of the following reasons:
you have an illness that prevents you from studying full-time or
you cant study full-time where there is sufficient cause outside your control2 or
its in your best interest3 to study less than full-time.

1 An enrolment must have a certain EFTS (equivalent full-time student) value to be considered full-time depending on the length of the enrolment. For
example, if your course is 52 weeks long it is full-time if it has an EFTS value of 0.8 or more. To be considered more than half of a full-time course
for a 52 week course, the EFTS value would need to be 0.4001 or more.
2 Sufficient cause outside your control could include a disability which stops you studying full-time.
3 Best interest could include a student who has completed a Certificate of University Preparation, who has been out of study for a number of years and
undertaking tertiary study or who is a recipient of the Prime Ministers Athlete Scholarship. Best interest does not apply to Bonded Merit Scholarship.


Youll also need to complete a Student Allowance or Student Loan application (unless youve applied
already). You can apply or online at www.studylink.govt.nz

Find the best way to finance your future

www.studylink.govt.nz
Before you start Read this page
Here are some important things you need to know before you COMPLETE this application.

Use blue or black ink only

When completing your application you must only use blue or black ink. If your application is completed in any other colour we
might get you to complete another one.

Answer all the questions

You need to answer every question in this application. If a question doesnt apply to you, use N/A or nil. Dont leave the
space blank as this could delay the process and you may not get paid on time.

You may need to provide documents

You may need to provide certain documents as part of your application these are listed on page 4 of this form.
If youre providing a copy of an original document it needs to be verified. A verified copy is a copy of the original document
which has been signed and dated by someone like a StudyLink or Work and Income staff member, officer of a tertiary
education provider, school principal, Solicitor/Lawyer, Notary Public, Court Registrar or Justice of the Peace (listed in the Yellow
Pages) who can confirm that the copy is the same as the original. They must print their name and title on the copy and write
that it is a true copy and sign it.
If you send an original document we will return it to you by courier.

Sign and date the form

Remember to sign and date this application.
An authorised staff member from your education provider must also complete and sign this form. If youre not sure who this
person is, ask at your education provider.

Where to send this form

Send your completed form (and any documents we need to see) to:
StudyLink
FreePost 207116
PO Box 30300
Lower Hutt 5040

If you need more information, visit our website www.studylink.govt.nz.

OFFICE USE ONLY

Processed by Authenticated by Checked by

Signature Signature Signature

Date Date Date

Comments Certified by

Signature

Date
 If you havent already applied for the Student Allowance or Student Loan, you can apply online at
www.studylink.govt.nz

1. What is your legal name?

This is your legal name as appears on your Passport or Birth Certificate.

First name Middle name(s) Surname or family name

2. What is your date of birth?

Day Month Year

3. What is your client number?

This is a number issued to you by StudyLink or Work and Income. This is on your Community Services Card if you have one. If
you dont have a client number or dont know it, leave this question blank.

4. Where will you live while studying?

Flat/House no. Street address

Suburb City

5. Please give us the details of the courses you need this limited full-time status for:

Extra-
1 Campus Summer
Education provider Study programme Student ID mural? Start End
name/ school?
(full name) (full name) (important) Yes/ date date
location Yes/No
No
MASSEY UNIVERSITY BACHELOR OF SCIENCE ADCD1234 ALBANY N N 00/00/00 00/00/00
00/00/00 00/00/00
00/00/00 00/00/00
00/00/00 00/00/00

6. Will you be finishing a recognised programme?

You must be studying more than half of a full-time course.

Yes (Go to Students Declaration) No (Go to Q7)

7. Please explain in detail why you are not able to study full-time:

1 If you dont have a student ID its very important you ring us as soon as you do. Please note that some education providers dont give out student IDs if youre
unsure contact your education provider.
LIMITED FULL-TIME STATUS APPLICATION FORM PAGE 1
 PRIVACY STATEMENT
The legislation administered by the Ministry of Social Development allows us to check the information that you give us in
this form.
The Privacy Act 1993 requires us to tell you that:
The information you give us is collected under the authority of the legislation administered by the Ministry of Social
Development.
The information will be held by the Ministry of Social Development.
The information is collected for the purposes of the legislation administered by the Ministry of Social Development
(including StudyLink, Work and Income, Child Youth and Family and other service lines of the Ministry), and in
particular for:
granting financial assistance and other assistance under the Social Security Act 1964 and Education Act 1989 (and
any Regulations under those Acts)
statistical and research purposes
providing advice to Government
care and protection needs of children
providing support and services to you and your family
providing education related services
providing employment related services.
Other information that you give us on your skills, aspirations, family circumstances, and that is not required to assess
your entitlement to financial assistance may be used to provide a better service to you by the Ministry of Social
Development.
The information you give us may be compared with information held by Inland Revenue, the Ministry of Justice,
the Department of Corrections, the New Zealand Customs Service, the Department of Internal Affairs, the Accident
Compensation Corporation, Housing New Zealand, Statistics New Zealand, the Ministry of Health, Immigration New
Zealand, the Ministry of Education, the New Zealand Qualifications Authority, the Tertiary Education Commission,
Student Job Search and education providers. It may also be compared with social security information (for example,
pension or benefit information) held by other governments (including Australia and the Netherlands).
Under the Tax Administration Act 1994, if you have dependent children, the information you give us may be shared
with Inland Revenue for the purpose of administering Working for Families Tax Credits.

Inland Revenue may also:

use the information for the purposes of child support, Student Loans and taxation
disclose it to the Department of Labour, Statistics New Zealand, the Ministry of Justice, the Accident Compensation
Corporation, and the Ministry of Education
disclose your personal information to your partner.
Under the Privacy Act 1993 you have the right to ask to see all information we hold about you, and to ask us to correct
that information.
You are not required to give us information; but if you do not give us all the information we ask for, your application
for financial assistance may be declined.

sign here

STUDENTS Declaration
The information I have provided is true and I have not left anything out. I understand that if I have made a false statement or
dont tell StudyLink of a change in my circumstances that my Student Allowance or Student Loan payments may stop, or my
Step Up Scholarship or Bonded Merit Scholarship may be affected. If this happens I understand that I will have to pay back any
overpayments plus collection costs, and I could be prosecuted.

Students signature

SIGN HERE
Day Month Year

PAGE 2 LIMITED FULL-TIME STATUS APPLICATION FORM

 statement from authorised staff member
This section must be completed by an authorised staff member from your education provider
If youre unsure who needs to complete this section, ask at your education provider.

Authorised staff members details:

First name Middle name(s) Surname or family name
MICHAEL JOHN STUART NORRIS
Position Daytime phone number Education provider / Organisation
stamp
SENIOR LECTURER 04 463 7456
Education provider / Organisation
NEW ZEALAND SCHOOL OF MUSIC

Students name:
First name Middle name(s) Surname or family name
STEPHANIE JOSEPHINE LOUISE ENGELBRECHT
I confirm that:
The student is completing a recognised programme of study and to do this the student is studying less than full-time
but more than half of a full-time course1.
Or
I consider that the student should study less than full-time for one of the following reasons:

the student has an illness that stops them from studying full-time or

the student cant study full-time where there is sufficient2 cause outside their control or

its in the students best interest3 to study less than full-time.

1 An enrolment must have a certain EFTS (equivalent full-time student) value to be considered full-time depending on the length of the enrolment. For
example, if your course is 52 weeks long it is full-time if it has an EFTS value of 0.8 or more. To be considered more than half of a full-time course for a 52
week course, the EFTS value would need to be 0.4001 or more.
2 Sufficient cause outside their control could include a student who has a disability which stops them studying full-time.
3 Best interest could include a student who has completed a Certificate of University Preparation, who has been out of study for a number of years and
undertaking tertiary study or who is a recipient of the Prime Ministers Athlete Scholarship. Best interest does not apply to Bonded Merit Scholarship.

Please fully explain the reason why you think this student should not study full-time:

As Stephanie has changed her major midway through her study, she is
required to take a number of remedial 100-level classes to complete the
requirements of her new major. The three papers she has enrolled in are
the only three papers offered in the second trimester of 2011 that fulfil her
major requirements, with the exception of one further paper which she
was unable to enrol in due to a timetable clash.

Staff members signature

SIGN HERE
Day Month Year

LIMITED FULL-TIME STATUS APPLICATION FORM PAGE 3

STUDENTs checklist
documents to provide
If youre providing a copy of an original document it needs to be verified. A verified copy is a copy of the original
document which has been signed and dated by someone like a StudyLink or Work and Income staff member, officer of a
tertiary education provider, school principal, Solicitor/Lawyer, Notary Public, Court Registrar or Justice of the Peace (listed
in the Yellow Pages) who can confirm that the copy is the same as the original. They must print their name and title on the
copy and write that it is a true copy and sign it.
If you send an original document we will return it to you by courier.
You need to provide any information we need before the end of your course or your Student Allowance application may be
declined.

If youre finishing a recognised programme and to do this you are studying less than full-time but more than
half of a full-time course
An authorised staff member from your education provider needs to confirm on page 3 that your study will complete a
recognised programme.

With support from your education provider

An authorised staff member from your education provider needs to confirm on page 3 that they support you studying
less than a full-time course and explain the reasons why.
If you are ill or have a disability you will also need to provide a letter or statement from your doctor or medical
professional confirming that your illness or disability stops you studying full-time.
If there is some other reason for sufficient cause outside your control, you will also need to provide a letter or
statement from a professional (like a counsellor) confirming you cant study full-time and explaining the reasons why.

MyStudyLink get it all done online

apply for your student finances
check your Student Allowance and Student Loan application status
view and update your personal details
view your mail online
view and accept your Student Loan Contract (from November 2010).

www.studylink.govt.nz

HOW TO CONTACT US
Website: www.studylink.govt.nz
Phone: 0800 88 99 00
Fax: 0800 88 33 88

StudyLink
FreePost 207116
PO Box 30300
Lower Hutt 5040

SL LFT (SEPTEMBER 2010)