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New Applicant – Enrolment Application Form
1
Contact Details
2
Education, Language and Nationality
3
Disability, International Students
4
Next of Kin
5
Qualification & Course Enrolment
PERSONAL DETAILS
Title
Ms
Miss
Mrs
Mr
Dr
What is your full legal name?
*
As shown on your formal identification documents
Preferred First Name
*
Previous Name/s known by:
Date of Birth (DD/MM/YYYY)
*
Gender
*
Female
Male
Other
CONTACT DETAILS
Phone or Mobile Number
*
Alternate Phone Number
Personal Email
*
Street Address
Street Number
*
Street
*
Suburb/Town
*
City/Region
Postcode
*
Country
*
Postal Address
PO Box
Street Number
Street
Suburb/Town
City/Region
Postcode
Country
EDUCATION & EMPLOYMENT
NSN (National Student Number) if known:
Are you still at school?
*
Yes
No
Last School Attended (state Overseas if applicable)
*
Academy for Gifted Education
ACG New Zealand International College
ACG Parnell College
ACG Senior College
ACG Strathallan
ACG Sunderland
ACG Tauranga
ADDI Enrichment Academy
Aidanfield Christian School
Akaroa Area School
Albany Junior High School
Albany Senior High School
Alfriston College
Allenvale Special School & Res. Centre
Al-Madinah School
Al-Madinah School
Amana Christian School
Ambury Park Centre For Riding Therapy
Amuri Area School
Amworth Secondary School
Aorere College
Aotea College
Aparima College
Aquinas College
Arahunga School
Aranui High School
Arohanui Special School
Ashburton Christian School
Ashburton College
Athena Montessori College (CLOSED)
Attended NZ School Not On List
Auckland Girls' Grammar School
Auckland Grammar
Auckland International College
Auckland Metropolitan College
Auckland Seventh-Day Adventist H S
Aurora College
Aurora Girls' Home
Avon Christian College
Avon Christian College
Avondale College
Avonside Girls' High School
Awatapu College
Awatapu School
Awhina School
Baradene College
Barnardos School
Bay Of Islands College
Bayfield High School
Beck House
Berkley Normal Middle School
Bethlehem College
Bethlehem College
Birkenhead College
Bishop Viard College
Blind and Low Vision Education Network N
Blomfield Special School & Resource Ctre
Blue Light Senior Boys High School
Blue Mountain College
Bollard Ave Girls' Home School
Botany Downs Secondary College
Bream Bay College
Broadwood Area School
Buller High School
Burnside High School
Cambridge High School
Cambridge International College
Cambridge Middle School
Campbell Park School
Campion College
Carey College
Carey College (Secondary)
Cargill High School
Carlson School (Cerebral Palsy)
Carmel College
Cascade Christian College
Cashmere High School
Catholic Cathedral College
Central Auckland Specialist School
Central Hawkes Bay College
Central Regional Health School
Central Southland College
Chanel College
Chapman College
Cheviot Area School
Children Of Hope New Zealand
Chilton St James School
Cholmondeley Home School (Property)
Christchurch Adventist School
Christchurch Boys' High School
Christchurch Boys' Home School
Christchurch Girls' High School
Christchurch Senior College
Christian Renewal School
Christian School
Christ's College
Church College Of New Zealand
City Impact Church School (Secondary)
City Senior School
Clareville School
Clendon Teen Parent Unit
Clover Park Middle School
Coastal Taranaki School
Collingwood Area School
Columba College
Cornell High School
Cornerstone Christian School
Coromandel Area School
Coromandel Street School
Craighead Diocesan School
Cromwell College
Cullinane College
Dannevirke High School
Darfield High School
Dargaville High School
De La Salle College
Destiny College
Destiny School
Dilworth School
Dingwall Trust School
Diocesan School For Girls
Drury Christian School
Dunstan High School
East Otago High School
Eden Campus
Eden Christian Academy
Edgecumbe College
Edgewater College
Edmund Rice College
Educational Unit
Edward Seager School
Elim Christian College
Ellesmere College
Emmanuel Christian School
Epsom Girls Grammar School
Epuni Boys' Home School
Erskine College
Excellere College
Fairfield College
Fairhaven School (Napier)
Feilding High School
Felix Donnelly College
Ferndale School (Christchurch)
Fiordland College
Flaxmere College
Forest View High School
Four Avenues Alternative School
Francis Douglas Memorial College
Fraser High School
Freyberg High School
Garin College
Geraldine High School
Gisborne Boys' High School
Gisborne Girls' High School
Glendowie College
Glenelg Health Camp School
Glenfield College
Global Indian International School (Clos
Gloriavale Christian Community School
Golden Bay High School
Goldfields School (Paeroa)
Gore High School
Green Bay High School
Greymouth High School
Greymouth Special School
Haeata Community Campus
Hagley Community College
Halswell Residential College
Hamilton Boys' High School
Hamilton Boys' Home
Hamilton Christian School
Hamilton Christian School (Secondary)
Hamilton Collegiate
Hamilton Girls' High School
Hamilton North School
Hamilton's Fraser High School TPU
Hastings Boys' High School
Hastings Christian School
Hastings Christian School (Secondary)
Hastings Girls' High School
Hato Paora College
Hato Petera College
Hauraki Plains College
Havelock North High School
Hawera Christian Academy
Hawera High School
Hawke's Bay School for Teenage Parents
He Huarahi Tamariki
He Mataariki School for Teen Parents
Health Camp School (Otago-Southland)
Hebron Christian College (Auckland)
Hebron Christian College (Nelson)
Henderson - Teen Parent Unit - He Wero o
Henderson High School
Heretaunga College
Highcliff High School
Hill Top School
Hill Top School (Sec Dept)
Hillcrest High School
Hillmorton High School
Hillview Christian School
Hobsonville Point Secondary School
Hohepa Home School (Christchurch)
Hohepa Home School (Napier)
Hokio Beach School
Hokitika Christian School
Hokitika Christian School
Home Schooling
Homeleigh Christian School (Closed)
Hornby High School
Horowhenua College
Howick College
Huanui College
Hukarere College
Huntly College
Hurunui College
Hutt International Boys' School
Hutt Valley Christian School
Hutt Valley Christian School (Merged)
Hutt Valley High School
Immanuel Christian School
Immanuel Christian School (Secondary)
Inangahua College
Independent Middle School (CLOSED)
Inglewood High School
International Christian School
International Middle School
Iona College
James Cook High School
James Hargest College
James Hargest High School
Jean Seabrook Memorial School
John McGlashan College
John Paul College
John Paul II High School
Kadimah College
Kadimah College (Secondary)
Kahutia School
Kaiapoi High School
Kaikohe Christian School
Kaikohe Christian School(Secondary)
Kaikorai Valley College
Kaikoura High School
Kaipara College
Kaitaia Abundant Life School
Kaitaia Abundant Life School (closed)
Kaitaia College
Kaka Street Special School
Kamahi School
Kamo High School
Kapiti College
Karamea Area School
Karamu High School
Karanga Mai Young Parents College
Katikati College
Kavanagh College
Kawerau College
Kawerau High School
Kawerau Teen Parent Unit
Kea Street Specialist School
Kelston Boys' High School
Kelston Deaf Education Centre
Kelston Girls' College
Kerikeri Christian Community School
Kerikeri Christian School
Kerikeri High School
Kia Aroha College
Kimi Ora School
Kimihia Parents' College
King Edward International High School
Kings Christian School (Secondary)
Kings College
Kings College (Christchurch)
Kings High School (Dunedin)
Kingslea School
Kingsway School
Kingsway Secondary School
Kingswell High School
Kohitere School
Kokohuia School
Kowhai School
Kristin School
Kuranui College
Lake Taupo Christian School
Lawrence Area School
Levin Teen Parent Unit
Lincoln High School
Lindisfarne College
Linwood College
Liston College
Living Way Learning Centre
Logan Park High School
Long Bay College
Longburn Adventist College
Lynfield College
Lytton High School
Mackenzie College
Macleans College
Mahinawa Specialist School and Resource
Mahurangi College
Mairehau High School
Maitai School
Makoura College
Mana College
Mana Tamariki
Manaia School (Thames)
Manawatu College
Mangakahia Area School
Mangakino Area School
Mangakino High School
Mangere College
Maniapoto School
Maniototo Area School
Manukau Christian School
Manukura
Manurewa High School
Marcellin College
Marian College
Marist College
Marist College (Invercargill)
Marlborough Boys' College
Marlborough Girls' College
Marsden Christian School
Marsden Christian School
Maru School & Resource Centre
Massey High School
Matamata College
Mataora Girls' Home School
Matarawa Special School
McAuley High School
McKenzie Residential School
McKillop College
Melville High School
Menzies College
Mercury Bay Area School
Mercy College
Merton Street School
Michael Park School
Middle School West Auckland
Middlemore Hospital School
Middleton Grange School
MindAlive
Mission Heights Junior College
Moerewa School
Montessori College of Auckland (Closed)
Moreau College
Morrinsville College
Mosgiel Intermediate
Motueka High School
Mount Hutt College
Mountainview High School
Mt Albert Grammar School
Mt Anglem College
Mt Aspiring College
Mt Hobson Middle School
Mt Maunganui College
Mt Richmond School
Mt Roskill Grammar
Murchison Area School
Murihiku Young Parents Learning Centre
Murupara Area School
Naenae College
Napier Boys' High School
Napier Girls' High School
Nayland College
Nelson Christian Academy
Nelson College
Nelson College For Girls
Nelson Teen Parent Unit
Never Attended A Secondary School
New Plymouth Boys' High School
New Plymouth Girls' High School
Newlands College
Nga Kakano Christian Bilingual School
Nga Kakano Christian Reo Rua Kura
Nga Purapura o te Aroha
Nga Taiatea Wharekura
Nga Tawa Diocesan School
Ngaruawahia High School
Ngata Memorial College
Northcote College
Northern Health School
Northern Southland College
Northland College
Northland College Teen Parent Unit
Northland Health Camp School
Oaklynn Special School
Odyssey House School (Auckland)
Odyssey House School (Christchurch)
Okaihau College
Okato College
One Tree Hill College
Onehunga High School
Onewhero Area School
Onslow College
Opihi College
Opononi Area School
Opotiki College
Opunake High School
Orewa College
Ormiston Junior College
Ormiston Senior College
Otago Boys' High School
Otago Girls' High School
Otahuhu College
Otaki College
Otaki Health Camp School
Otamatea Christian School
Otamatea High School
Otorohanga College
Otumoetai College
Overseas Secondary School
Oxford Area School
Pa Harakeke Teen Parent Unit
Pacific Advance Senior School
Paeroa College
Pakuranga College
Pakuranga Health Camp School
Palmerston North Boys' High School
Palmerston North Girls' High School
Panguru High School
Papakura High School
Papamoa College
Papanui High School
Papatoetoe High School
Paraparaumu College
Parkside School
Parkway College
Patea Area School
Patricia Avenue School
Peace Experiment
Petone College
Pinehurst School
Pinehurst Secondary School
Piopio College
Pleasant Point High School
Pompallier Catholic College
Ponatahi Christian School
Ponatahi Christian School
Porirua College
Prospect College
Pukekohe Christian School
Pukekohe Christian School (Secondary)
Pukekohe High School
Pukeora Home School (Phys.H'capped)
Putaruru College
Putaruru High School
Queen Charlotte College
Queen Elizabeth College
Queen Margaret College
Queen Victoria School
Queens College
Queens High School
Raglan Area School
Rai Valley Area School
Rangi Ruru Girls' School
Rangiora High School
Rangiora New Life School
Rangitahi College
Rangitaiki Independent School
Rangitaiki Independent School (Sec Dept)
Rangitikei College
Rangitoto College
Raphael House Rudolf Steiner Area School
Rathkeale College
Raukawa School
Raumanga School
Redwood College
Reefton Area School
Reefton School
Reikorangi College
Reporoa College
Riccarton High School
Richmond Christian College
Richmond View Secondary School
Rodney College
Rolleston College
Roncalli College
Rongotai College
Rosehill College
Rosehill School
Roselyn School
Rosmini College
Rotorua Bible Baptist Church School
Rotorua Boys' High School
Rotorua Girls' High School
Rotorua Lakes High School
Rotorua School for Young Parents
Rototuna Junior High School
Rototuna Senior High School
Roxburgh Area School
Ruapehu College
Ruatoki Kura Tuarua School
Ruawai College
Rudolf Steiner School (Belmont)
Rudolf Steiner School (Chch)
Ruru Special School
Rutherford College
Sacred Heart College (Auckland)
Sacred Heart College (Lower Hutt)
Sacred Heart College (Napier)
Sacred Heart College (Wanganui)
Sacred Heart Girls' College (Chch)
Sacred Heart Girls' College (Ham)
Sacred Heart Girls' College (N Plymouth)
Salisbury School (Nelson)
Samuel Marsden Collegiate School
Samuel Marsden Collegiate School -Whitby
Sancta Maria College
Sara Cohen School
Scots College
Secondary School Not Known
Selwyn College
Seven Oaks Secondary School
Shiloh Christian Academy (Motueka)
Shirley Boys' High School
Silverstream Christian School
Silverstream Christian School Secondary
Sir Edmund Hillary Collegiate Senior Sch
Sir Keith Park School
Solway College
Sommerville School
Sonrise Christian School
South Auckland Middle School
South Otago High School
South Westland Area School
Southbridge District High School
Southern Cross Campus
Southern Cross Middle School
Southern Lakes Christian School
Southern Lakes Christian School (Sec)
Southern Regional Health School
Southland Boys' High School
Southland Girls' High School
Spotswood College
Springbank School
St Andrew's Christian School (Secondary)
St Andrew's College (Christchurch)
St Andrew's Middle School (Hamilton)
St Bedes College
St Benedicts College
St Bernard's College
St Catherines College (Invercargill)
St Catherines College (Kilbirnie)
St Cuthbert's College (Epsom)
St Dominic's College
St Dominic's College (Henderson)
St Hildas Collegiate
St John's College (Hastings)
St John's College (Hillcrest)
St Joseph's Maori Girls' College
St Kentigern College (Pakuranga)
St Kentigern School for Girls - Corran
St Kevins College (Oamaru)
St Margaret's College
St Mark's Church School
St Mark's Church School (Sec Dept) (Mt V
St Martin's Christian Secondary School
St Mary's College (Chch)
St Mary's College (Greymouth)
St Mary's College (Ponsonby)
St Mary's College (Wellington)
St Mary's Diocesan School (Stratford)
St Matthew's Collegiate (Masterton)
St Oran's College
St Patrick's College (Kilbirnie)
St Patrick's College (Silverstream)
St Patrick's College (Timaru)
St Paul's College (Ponsonby)
St Paul's Collegiate (Hamilton)
St Peter's College (Epsom)
St Peter's College (Gore)
St Peter's College (Palmerston North)
St Peter's School (Cambridge)
St Raphaels School (Carterton)
St Stephen's School (Bombay)
St Thomas Girls High School
St Thomas of Canterbury College
St.Dominic's School For Deaf
St.Paul's High School (Dunedin)
Stratford High School
Stratford High School Teen Parent Unit
Strathallan College
Sunnydene Special School
Sunset Junior High School
Tai Wananga
Taieri College
Taihape Area School
Taihape College
Taikura Rudolf Steiner School
Taipa Area School
Taita College
Takapuna Grammar School
Tamaki College
Tamariki Special School
Tamatea High School
Tangaroa College
Tangaroa College Teen Parent Unit
Tapawera Area School
Taradale High School
Tararua College
Tarawera High School
Tau Te Arohanoa Akoranga
Tauhara College
Taumarunui Christian Academy
Taumarunui High School
Taupo-nui-a-Tia College
Tauranga Boys' College
Tauranga Girls' College
Tauraroa Area School
Tawa College
Te Aho o Te Kura Pounamu
Te Aratika Academy
Te Aroha College
Te Aute College
Te Awamutu College
Te Hiranui Special School
Te Kainga Whaiora Children's Health Camp
Te Karaka Area School
Te Kauwhata College
Te KKM o Puau Te Moananui-a-Kiwa
Te Kopuku High
Te Kuiti High School
Te Kura Hauora
Te Kura Hourua o Whangarei Terenga Parao
Te Kura Kaupapa Maori o Horouta Wananga
Te Kura Kaupapa Maori O Mana Tamariki
Te Kura Kaupapa Maori o Ngati Kahungunu Ki Heretaunga
Te Kura Mana Maori o Whangaparaoa
Te Kura Maori o Nga Tapuwae
Te Kura Maori o Nga Tapuwae
Te Kura Maori o Porirua
Te Kura Maori-a-Rohe o Waiohau
Te Kura O Awarua
Te Kura o Hirangi
Te Kura o Nga Ruahine Rangi
Te Kura o Te Whanau-a-Apanui
Te Kura Taumata O Panguru
Te Kura Toitu o Te Whaiti-nui-a-Toi
Te Kura-a-iwi o Whakatupuranga Rua Mano
Te Pa o Rakaihautu
Te Piipiinga Kakano Mai Rangiatea
Te Puke High School
Te Rangi Aniwaniwa
Te Rangihakaka Centre for Science and Technology
Te Tipu Whenua o Pa Harakeke
Te Waha O Rerekohu Area School
Te Waha-O-Rerekohu Area School
Te Whakatipuranga (Otumoetai TPU)
Te Whanau O Tupuranga
Te Whanau-A-Apanui Area School
Te Whare Whai Hua Teenage Parent Centre
Te Wharekura O Arowhenua
Te Wharekura o Maniapoto
Te Wharekura o Manurewa
Te Wharekura o Mauao
Te Wharekura O Rakaumangamanga
Te Wharekura O Ruatoki
Te Wharekura o Te Kaokaoroa o Patetere
Te Wharekura o Te Rau Aroha
Te Whata Tau o Putauaki
Tenison College
Thames High School
The Bridge Academy
The Catlins Area School
The Corelli School
The Corelli School (Secondary)
The Deep Green Bush School
The Taieri High School
Thurston Place College
Tikipunga High School
Timaru Boys' High School
Timaru Christian School
Timaru Girls' High School
Titirangi Rudolf Steiner High School
Titirangi Rudolf Steiner School
Titiro Whakamua
TKK Motuhake o Tawhiuau
TKK o Te Wananga Whare Tapere o Takitimu
TKKM o Hoani Waititi
TKKM o Huiarau
TKKM o Kaikohe
TKKM o Kawakawa mai Tawhiti
Tkkm O Mana Tamariki (Secondary)
TKKM o Mangere
TKKM o Nga Maungarongo
TKKM o Nga Mokopuna
TKKM o Nga Uri A Maui
TKKM o Nga Waipupu o Punahau
TKKM O Ngati Kahungunu Ki Heretaunga
TKKM o Ngati Kahungunu o Te Wairoa
TKKM o Pukemiro
TKKM o Ruamata
TKKM o Tamaki Nui A Rua
TKKM o Taumarere
TKKM O Te Ara Hou
TKKM o Te Ara Whanui
TKKM o Te Koutu
TKKM o Te Kura Kokiri
TKKM o Te Raki Paewhenua
TKKM o Te Rawhiti Roa
TKKM o Te Rito
TKKM o Te Tonga o Hokianga
TKKM O Te Waiu O Ngati Porou
TKKM o Te Whanau Tahi
TKKM o Tuia te Matangi
TKKM o Tupoho
TKKM o Wairarapa
TKKM o Waitaha
TKKM o Whakarewa I Te Reo Ki Tuwharetoa
TKKM o Whangaroa
TKKM Te Ahureinga o Whakatohea
Tokanui Special School
Tokomairiro High School
Tokoroa High School
Tolaga Bay Area School
Tongariro High School
Tongariro School
Totara College Of Accelerated Learning
Totara College of Accelerated Learning
Trident High School
Tu Toa
Tuakau College
Turakina Maori Girls' College
Turanga Tangata Rite
Tweedsmuir Junior High School
Twizel Area School
Twizel High School
Tyndale Park Christian School
Unlimited - Discovery Merged School
Unlimited Paenga Tawhiti
Upper Hutt College
Upper Valley Middle School
Van Asch Deaf Education Centre
Vanguard Military School
Vanguard Military School Christchurch
Verdon College
Victory Christian Academy
Villa Maria College
Wa Ora Montessori School
Waatea High
Waiau Area School
Waiheke Area School
Waiheke High School
Waihi College
Waikato Diocesan School For Girls
Waikato Waldorf School (Rudolf Steiner)
Waikohu College
Waimate High School
Waimate North Christian School
Waimea College
Waimokoia Residential School
Wainuiomata College
Wainuiomata High School
Waiopehu College
Wairarapa College
Wairarapa Teen Parent Unit
Wairau Valley School
Wairoa College
Waitaha School
Waitakere College
Waitaki Boys' High School
Waitaki Girls' High School
Waitara High School
Waiuku College
Waka Ora Boys' Home School
Wakatipu High Frankton Flats
Wakatipu High School
Wanaka Area School
Wanganui City College
Wanganui Collegiate School
Wanganui Girls' College
Wanganui High School
Wa-Ora School
Warea School
Waverley High School
Wellington College
Wellington East Girls' College
Wellington Girls' College
Wellington High School & Com Ed Centre
Wentworth College
Weraroa Hospital School
Wesley College
Wesleydale Boys' Home
West City Christian College
Westbridge Residential School
Western City Christian School
Western Heights High School
Western Springs College
Westlake Boys' High School
Westlake Girls' High School
Westland High School
Westminster Christian School (clsd)
Westmount School
Weymouth Centre School
Whaiora School
Whakatane High School
Whakatane Teen Parent Unit
Whakatipuria Teen Parent Unit
Whangamata Area School
Whangaparaoa College
Whangarei Boys' High School
Whangarei Girls' High School
Whangaroa College
Wharera Special School Group
William Colenso College
Wilson School
Windermere Christian College
Woodford House
Xavier College
Zayed College for Girls
Last Year at Secondary School (YYYY - e.g. 2018)
*
Highest Secondary Qualification
*
No formal secondary school qualification
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 (includes International Baccalaureate & Cambridge Exams)
Other
Not known
First Year of Formal Education (YYYY - e.g. 2019)
What qualification were you awarded?
No qualification completed
Certificate Level 1-3
Certificate Level 4-5
Diploma Level
Bachelors Degree
Masters
Doctorate
Other
Are you eligible for Fees-free?
*
Fees-free eligible
Not Fees-free eligible
Unknown
What was your main activity prior to study?
*
Secondary School Student
Non-employed or Beneficiary (excluding retired)
Wage or Salary Worker
Self-employed
University Student
Polytechnic Student
College of Education Student
House of Person or Retired
Overseas (irrespective of occupation)
Private Training Establishment Student
Wananga Student
Language
What is your first language?
*
Nationality
See further information in our
Terms and Conditions
Documentation section at the end of this form.
Citizenship (Country)
*
Residential Status
*
NZ or Australian Citizen (Not a Permanent Resident)
Permanent Resident (Excludes NZ & Australian Citizens)
Ethnicity
*
Māori
NZ European
British/Irish
Dutch
Greek
Polish
South Slav
Italian
German
Australian
Other European
Samoan
Cook Island Maori
Tongan
Niuean
Tokelauan
Fijian
Other Pacific Island Groups
Filipino
Cambodian
Vietnamese
Other Southeast Asian
Chinese
Indian
Sri Lankan
Japanese
Korean
Other Asian
Middle Eastern
Latin American
African
Other
Not Stated
Ethnicity 2
Māori
NZ European/Pakeha
British/Irish
Dutch
Greek
Polish
South Slav
Italian
German
Australian
Other European
Samoan
Cook Island Maori
Tongan
Niuean
Tokelauan
Fijian
Other Pacific Island Groups
Filipino
Cambodian
Vietnamese
Other Southeast Asian
Chinese
Indian
Sri Lankan
Japanese
Korean
Other Asian
Middle Eastern
Latin American
African
Other
Not Stated
Ethnicity 3
Māori
NZ European/Pakeha
British/Irish
Dutch
Greek
Polish
South Slav
Italian
German
Australian
Other European
Samoan
Cook Island Maori
Tongan
Niuean
Tokelauan
Fijian
Other Pacific Island Groups
Filipino
Cambodian
Vietnamese
Other Southeast Asian
Chinese
Indian
Sri Lankan
Japanese
Korean
Other Asian
Middle Eastern
Latin American
African
Other
Not Stated
Iwi Affliation
Hapu Affiliated to More Than One Iwi
Hauraki Region, Iwi not named
Kati Mamoe
Manawatu/Horowhenua/Te Whanganui-a-Tara
Maungaharuru Tangitu
Moriori
Muaupoko
Nga Potiki a Tamapahore
Nga Rauru
Nga Ruahine
Ngai Tahu / Kai Tahu
Ngai Tai (Tauranga Moana/Mataatua)
Ngai Tai, region not known
Ngai Taki ki Tamaki
Ngai Takoto
Ngai Tamanuhiri
Ngai Te Rangi
Ngapuhi
Ngapuhi ki Whaingaroa-Ngati Kahu ki Whaingaroa
Ngati Apa (Rangitikei)
Ngati Apa ki Te Ra To
Ngati Awa
Ngati Hako
Ngati Haua (Taumarunui)
Ngati Haua (Waikato)
Ngati Haua, region not known
Ngati Hauiti
Ngati Hei
Ngati Hikairo
Ngati hine (Te Tai Tokerau)
Ngati Hineuru
Ngati Kahu
Ngati Kahungunu ki Heretaunga
Ngati Kahungunu ki Tamakinui a Rua
Ngati Kahungunu ki Tamatea
Ngati Kahungunu ki Te Wairoa
Ngati Kahungunu ki Te Whanganui-a-Orotu
Ngati Kahungunu ki Wairarapa
Ngati Kahungunu, region not known
Ngati Kauwhata
Ngati Kearoa / Ngati Tuara
Ngati Koata
Ngati Koroki Kahukura
Ngati Kuia
Ngati Kuri
Ngati Makino
Ngati Manawa
Ngati Maniapoto
Ngati Manuhiri
Ngati Maru (Hauraki)
Ngati Maru (Taranaki)
Ngati Maru, region not known
Ngati Mutunga (Taranaki)
Ngati Mutunga (Wharekauri/Chatham Islands)
Ngati Pahauwera
Ngati Paoa
Ngati Pikiao (Te Arawa)
Ngati Porou
Ngati Porou ki Harataunga ki Mataora
Ngati Pukenga
Ngati Pukenga ki Waiau
Ngati Rahiri Tumutumu
Ngati Rakaipaaka
Ngati Rangi (Ruapehu, Whanganui)
Ngati Ranginui
Ngati Rangiteaorere (Te Arawa)
Ngati Rangitihi (Te Arawa)
Ngati Rangiwewehi (Te Arawa)
Ngati Rarua
Ngati Raukawa (Horowhenua/Manawatu)
Ngati Rehua
Ngati Rongomai (Te Arawa)
Ngati Ruanui
Ngati Ruapani ki Waikaremoana
Ngati Tahu-Ngati Whaoa (Te Arawa)
Ngati Tama (Taranaki)
Ngati Tama (Te Waipounamu/South Island)
Ngati Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington)
Ngati Tama, region not known
Ngati Tamakopiri (Rangitikei)
Ngati Tamaoho
Ngati Tamatera
Ngati Tara Tokanui
Ngati Tarawhai (Te Arawa)
Ngati Te Ata
Ngati Te Ohuake (Rangitikei)
Ngati Tiipa
Ngati Toarangatira (Te Waipounamu/South Island)
Ngati Toarangatira (Te Whanganui a Tara/Wellington)
Ngati Tukorehe
Ngati Tuwharetoa (Ki Taupo)
Ngati Tuwharetoa ki Kawerau
Ngati Tuwharetoa, region not known
Ngati Wai
Ngati Whakaue (Te Arawa)
Ngati Whanaunga
Ngati Whare
Ngati Whatua (not Orakei or Kaipara)
Ngati Whatua o Kaipara
Ngati Whatua o Orakei
Ngati Whitikaupeka (Rangitikei)
Ngatokimatawhaotua, iwi not named
Pakakohi
Patukirikiri
Rangitane (Manawatu)
Rangitane (Te Matau a Maui/Hawke's Bay/Wairarapa)
Rangitane (Te Waipounamu/South Island)
Rangitane o Tamaki nui a Rua
Raukawa (Waikato)
Rereahu
Response outside scope
Rongomaiwahine (Te Mahia)
Rongowhakaata
Tainui, iwi not named
Tamahaki (Ruapehu, Waimarino)
Tamakana (Ruapehu, Waimarino)
Tangahoe
Tapuika (Te Arawa)
Taranaki
Taranaki Region, Iwi not named
Tauranga Moana, iwi not named
Te Aitanga a Hauti
Te Aitanga-a-Mahaki
Te Akitai-Waiohua
Te Ati Haunui-a-Paparangi
Te Atiawa (Taranaki)
Te Atiawa (Te Waipounamu/South Island)
Te Atiawa (Te Whanganui a Tara/Wellington)
Te Atiawa ki Whakarongotai
Te Aupouri
Te Hika o Papauma
Te Kawwerau a Maki
Te Paatu
Te Rarawa
Te Roroa
Te Upokorehe
Te Uri-o Hau
Te Whanau-a-Apanui
Tuhoe
Tuhourangi (Te Arawa)
Turanganui a Kiwa, iwi not named
Uenuku (Ruapehu, Waimarino)
Uenuku-Kopako (Te Arawa)
Waikato
Waitaha (Te Arawa)
Waitaha (Te Waipounamu/South Island)
Whakatohea
Iwi Affliation 2
Hapu Affiliated to More Than One Iwi
Hauraki Region, Iwi not named
Kati Mamoe
Manawatu/Horowhenua/Te Whanganui-a-Tara
Maungaharuru Tangitu
Moriori
Muaupoko
Nga Potiki a Tamapahore
Nga Rauru
Nga Ruahine
Ngai Tahu / Kai Tahu
Ngai Tai (Tauranga Moana/Mataatua)
Ngai Tai, region not known
Ngai Taki ki Tamaki
Ngai Takoto
Ngai Tamanuhiri
Ngai Te Rangi
Ngapuhi
Ngapuhi ki Whaingaroa-Ngati Kahu ki Whaingaroa
Ngati Apa (Rangitikei)
Ngati Apa ki Te Ra To
Ngati Awa
Ngati Hako
Ngati Haua (Taumarunui)
Ngati Haua (Waikato)
Ngati Haua, region not known
Ngati Hauiti
Ngati Hei
Ngati Hikairo
Ngati hine (Te Tai Tokerau)
Ngati Hineuru
Ngati Kahu
Ngati Kahungunu ki Heretaunga
Ngati Kahungunu ki Tamakinui a Rua
Ngati Kahungunu ki Tamatea
Ngati Kahungunu ki Te Wairoa
Ngati Kahungunu ki Te Whanganui-a-Orotu
Ngati Kahungunu ki Wairarapa
Ngati Kahungunu, region not known
Ngati Kauwhata
Ngati Kearoa / Ngati Tuara
Ngati Koata
Ngati Koroki Kahukura
Ngati Kuia
Ngati Kuri
Ngati Makino
Ngati Manawa
Ngati Maniapoto
Ngati Manuhiri
Ngati Maru (Hauraki)
Ngati Maru (Taranaki)
Ngati Maru, region not known
Ngati Mutunga (Taranaki)
Ngati Mutunga (Wharekauri/Chatham Islands)
Ngati Pahauwera
Ngati Paoa
Ngati Pikiao (Te Arawa)
Ngati Porou
Ngati Porou ki Harataunga ki Mataora
Ngati Pukenga
Ngati Pukenga ki Waiau
Ngati Rahiri Tumutumu
Ngati Rakaipaaka
Ngati Rangi (Ruapehu, Whanganui)
Ngati Ranginui
Ngati Rangiteaorere (Te Arawa)
Ngati Rangitihi (Te Arawa)
Ngati Rangiwewehi (Te Arawa)
Ngati Rarua
Ngati Raukawa (Horowhenua/Manawatu)
Ngati Rehua
Ngati Rongomai (Te Arawa)
Ngati Ruanui
Ngati Ruapani ki Waikaremoana
Ngati Tahu-Ngati Whaoa (Te Arawa)
Ngati Tama (Taranaki)
Ngati Tama (Te Waipounamu/South Island)
Ngati Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington)
Ngati Tama, region not known
Ngati Tamakopiri (Rangitikei)
Ngati Tamaoho
Ngati Tamatera
Ngati Tara Tokanui
Ngati Tarawhai (Te Arawa)
Ngati Te Ata
Ngati Te Ohuake (Rangitikei)
Ngati Tiipa
Ngati Toarangatira (Te Waipounamu/South Island)
Ngati Toarangatira (Te Whanganui a Tara/Wellington)
Ngati Tukorehe
Ngati Tuwharetoa (Ki Taupo)
Ngati Tuwharetoa ki Kawerau
Ngati Tuwharetoa, region not known
Ngati Wai
Ngati Whakaue (Te Arawa)
Ngati Whanaunga
Ngati Whare
Ngati Whatua (not Orakei or Kaipara)
Ngati Whatua o Kaipara
Ngati Whatua o Orakei
Ngati Whitikaupeka (Rangitikei)
Ngatokimatawhaotua, iwi not named
Pakakohi
Patukirikiri
Rangitane (Manawatu)
Rangitane (Te Matau a Maui/Hawke's Bay/Wairarapa)
Rangitane (Te Waipounamu/South Island)
Rangitane o Tamaki nui a Rua
Raukawa (Waikato)
Rereahu
Response outside scope
Rongomaiwahine (Te Mahia)
Rongowhakaata
Tainui, iwi not named
Tamahaki (Ruapehu, Waimarino)
Tamakana (Ruapehu, Waimarino)
Tangahoe
Tapuika (Te Arawa)
Taranaki
Taranaki Region, Iwi not named
Tauranga Moana, iwi not named
Te Aitanga a Hauti
Te Aitanga-a-Mahaki
Te Akitai-Waiohua
Te Ati Haunui-a-Paparangi
Te Atiawa (Taranaki)
Te Atiawa (Te Waipounamu/South Island)
Te Atiawa (Te Whanganui a Tara/Wellington)
Te Atiawa ki Whakarongotai
Te Aupouri
Te Hika o Papauma
Te Kawwerau a Maki
Te Paatu
Te Rarawa
Te Roroa
Te Upokorehe
Te Uri-o Hau
Te Whanau-a-Apanui
Tuhoe
Tuhourangi (Te Arawa)
Turanganui a Kiwa, iwi not named
Uenuku (Ruapehu, Waimarino)
Uenuku-Kopako (Te Arawa)
Waikato
Waitaha (Te Arawa)
Waitaha (Te Waipounamu/South Island)
Whakatohea
Iwi Affliation 3
Hapu Affiliated to More Than One Iwi
Hauraki Region, Iwi not named
Kati Mamoe
Manawatu/Horowhenua/Te Whanganui-a-Tara
Maungaharuru Tangitu
Moriori
Muaupoko
Nga Potiki a Tamapahore
Nga Rauru
Nga Ruahine
Ngai Tahu / Kai Tahu
Ngai Tai (Tauranga Moana/Mataatua)
Ngai Tai, region not known
Ngai Taki ki Tamaki
Ngai Takoto
Ngai Tamanuhiri
Ngai Te Rangi
Ngapuhi
Ngapuhi ki Whaingaroa-Ngati Kahu ki Whaingaroa
Ngati Apa (Rangitikei)
Ngati Apa ki Te Ra To
Ngati Awa
Ngati Hako
Ngati Haua (Taumarunui)
Ngati Haua (Waikato)
Ngati Haua, region not known
Ngati Hauiti
Ngati Hei
Ngati Hikairo
Ngati hine (Te Tai Tokerau)
Ngati Hineuru
Ngati Kahu
Ngati Kahungunu ki Heretaunga
Ngati Kahungunu ki Tamakinui a Rua
Ngati Kahungunu ki Tamatea
Ngati Kahungunu ki Te Wairoa
Ngati Kahungunu ki Te Whanganui-a-Orotu
Ngati Kahungunu ki Wairarapa
Ngati Kahungunu, region not known
Ngati Kauwhata
Ngati Kearoa / Ngati Tuara
Ngati Koata
Ngati Koroki Kahukura
Ngati Kuia
Ngati Kuri
Ngati Makino
Ngati Manawa
Ngati Maniapoto
Ngati Manuhiri
Ngati Maru (Hauraki)
Ngati Maru (Taranaki)
Ngati Maru, region not known
Ngati Mutunga (Taranaki)
Ngati Mutunga (Wharekauri/Chatham Islands)
Ngati Pahauwera
Ngati Paoa
Ngati Pikiao (Te Arawa)
Ngati Porou
Ngati Porou ki Harataunga ki Mataora
Ngati Pukenga
Ngati Pukenga ki Waiau
Ngati Rahiri Tumutumu
Ngati Rakaipaaka
Ngati Rangi (Ruapehu, Whanganui)
Ngati Ranginui
Ngati Rangiteaorere (Te Arawa)
Ngati Rangitihi (Te Arawa)
Ngati Rangiwewehi (Te Arawa)
Ngati Rarua
Ngati Raukawa (Horowhenua/Manawatu)
Ngati Rehua
Ngati Rongomai (Te Arawa)
Ngati Ruanui
Ngati Ruapani ki Waikaremoana
Ngati Tahu-Ngati Whaoa (Te Arawa)
Ngati Tama (Taranaki)
Ngati Tama (Te Waipounamu/South Island)
Ngati Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington)
Ngati Tama, region not known
Ngati Tamakopiri (Rangitikei)
Ngati Tamaoho
Ngati Tamatera
Ngati Tara Tokanui
Ngati Tarawhai (Te Arawa)
Ngati Te Ata
Ngati Te Ohuake (Rangitikei)
Ngati Tiipa
Ngati Toarangatira (Te Waipounamu/South Island)
Ngati Toarangatira (Te Whanganui a Tara/Wellington)
Ngati Tukorehe
Ngati Tuwharetoa (Ki Taupo)
Ngati Tuwharetoa ki Kawerau
Ngati Tuwharetoa, region not known
Ngati Wai
Ngati Whakaue (Te Arawa)
Ngati Whanaunga
Ngati Whare
Ngati Whatua (not Orakei or Kaipara)
Ngati Whatua o Kaipara
Ngati Whatua o Orakei
Ngati Whitikaupeka (Rangitikei)
Ngatokimatawhaotua, iwi not named
Pakakohi
Patukirikiri
Rangitane (Manawatu)
Rangitane (Te Matau a Maui/Hawke's Bay/Wairarapa)
Rangitane (Te Waipounamu/South Island)
Rangitane o Tamaki nui a Rua
Raukawa (Waikato)
Rereahu
Response outside scope
Rongomaiwahine (Te Mahia)
Rongowhakaata
Tainui, iwi not named
Tamahaki (Ruapehu, Waimarino)
Tamakana (Ruapehu, Waimarino)
Tangahoe
Tapuika (Te Arawa)
Taranaki
Taranaki Region, Iwi not named
Tauranga Moana, iwi not named
Te Aitanga a Hauti
Te Aitanga-a-Mahaki
Te Akitai-Waiohua
Te Ati Haunui-a-Paparangi
Te Atiawa (Taranaki)
Te Atiawa (Te Waipounamu/South Island)
Te Atiawa (Te Whanganui a Tara/Wellington)
Te Atiawa ki Whakarongotai
Te Aupouri
Te Hika o Papauma
Te Kawwerau a Maki
Te Paatu
Te Rarawa
Te Roroa
Te Upokorehe
Te Uri-o Hau
Te Whanau-a-Apanui
Tuhoe
Tuhourangi (Te Arawa)
Turanganui a Kiwa, iwi not named
Uenuku (Ruapehu, Waimarino)
Uenuku-Kopako (Te Arawa)
Waikato
Waitaha (Te Arawa)
Waitaha (Te Waipounamu/South Island)
Whakatohea
Disability
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*
Yes
Do you live with the effects of significant injury, long term illness, or disability?
Yes
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I prefer not to answer this question.
If yes, how would you describe your disability?
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QUALIFICATION ENROLMENT
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NZ Certificate in Study & Career Preparation - Online only
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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
CPI512 Anatomy & Physiology 2
CPI521 Biochemistry of Foods
CPI532 Herbal Medicine 2
CPI542 Foundations of Research
CPI643 Rongoā Māori Healing Concepts
Additional Comments
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.
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Yes
I agree to abide by the conditions described above.
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Yes
I consent to the disclosure of personal information as described above.
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Yes
Signature (Type Name)
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Today's Date (DD/MM/YYYY)
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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.
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