Home
About
Programmes
Employment Skills
Sports & Recreation
>
Foundation Skills - Level 2
Core Skills - Level 2
Beauty Services
Enrol Now
Contact
Start the process by filling in this form.
Personal Details:
Name
*
First
Last
Middle Names
*
Preferred Name
*
National Student Number
*
Gender
*
Male
Female
Date of Birth
*
Last Secondary School
*
Last Year in Secondary School
*
Contact Details:
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Student Support Services. Select One.
*
Wānanga
Whaimarama
Other
If Other, please specify here.
*
Home Number
*
Mobile Number
*
Other Contact
*
Email
*
Contact Person
*
Phone
*
Ethnicity:
(You may tick up to three boxes, which apply to you)
Choose Any
*
NZ European/Pakeha
New Zealand Māori
Samoan
Cook Island Māori
Tongan
Niue
Tokeluen
Fijian
British/Irish
Choose Any
*
Filipino
German
Cambodian
Vietnamese
Chinese
Indian
Japanese
Australian
Other
If Other, please specify here.
*
IWI: If Māori, what is your iwi?
*
Prior Activity:
(What was your MAIN activity or occupation in the last 3 months before this programme?
Please Select One
*
Secondary school student
Private Training Establishment student
Non-employment or beneficiary
Overseas
Wānanga student
Disability:
Do you live with the effects of significant injury, long term illness, or disability? (The information you supply will be kept confidential)
*
Yes
No
If yes, how would you describe your impairment, disability or long term medical condition?
*
Academic Information:
What is the highest level of achievement you hold from your secondary school? Chose only one option.
*
No formal secondary qualifications
14 or more credits at any level
NCEA Level 1 or School Certificate
NCEA Level 2 or 6th Form Certificate
University Entrance
NCEA Level 3 or Bursary or Scholarship
Overseas Qualification
Other
Not known
If other, please specify here.
*
We will contact you once we have processed your application. This is not an enrolment form, but an application to enrol. We will contact you about the next steps in the process and discuss your eligibility.
I agree to terms and conditions
*
I Agree
Submit
Important Information
Home
About
Programmes
Employment Skills
Sports & Recreation
>
Foundation Skills - Level 2
Core Skills - Level 2
Beauty Services
Enrol Now
Contact
✕