SPCNM Enrolment
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New Applicant – Enrolment Application Form

1Contact Details
2Education, Language and Nationality
3Disability, International Students
4Next of Kin
5Qualification & Course Enrolment

PERSONAL DETAILS

As shown on your formal identification documents

CONTACT DETAILS

Street Address

Postal Address

EDUCATION & EMPLOYMENT

Language

Nationality

See further information in our Terms and Conditions Documentation section at the end of this form.
Residential Status*

Disability

I understand that the completion of this question is not compulsory and that any information I supply is confidential.*

INTERNATIONAL STUDENTS ONLY

DD slash MM slash YYYY

Overseas Address

NEXT OF KIN

QUALIFICATION ENROLMENT

Select one of the following:*
Please note: the NZ Certificate in Study & Career Preparation is only available full-time.
Please note: the NZ Certificate in Study & Career Preparation is online only. (International students must study at our Ellerslie campus.)
This option applies to Bachelor of Natural Medicine applicants only.

NZ CERTIFICATE IN STUDY & CAREER PREPARATION

All students enrolled in the NZ Certificate of Study & Career Preparation take the same courses. No course enrolment is necessary. Please go directly to the Declaration section below.

BACHELOR OF NATURAL MEDICINE COURSE ENROLMENT

Do not select from the Certificate of Personal Interest courses below. Course selection will be discussed at your interview. Please go directly to the Declaration section below.

PERSONAL INTEREST COURSE ENROLMENT

Please indicate the Certificate of Personal Interest course you are interested in studying. Please note that very limited places are available.
Semester Two Courses 2022

DECLARATION

I have read the Terms and Conditions
I declare that, to the best of my knowledge, all the information supplied in and with, this enrolment form is true and complete.*
I agree to abide by the conditions described above.*
I consent to the disclosure of personal information as described above.*

Thank you for completing your application form. Please remember to email your supporting documentation to Enrolment and Student Progression - ilaisaane.tuakalau@spcnm.ac.nz as soon as possible.
This field is for validation purposes and should be left unchanged.
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