Application Form

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AQualification

Programme not listed? Click here

If applicable, provide programme configuration ("Part-time"; "AMIF603 - Introduction to Finance paper only"; "Digital Arts Major" etc.)

Have you studied at NorthTec before?

During your time studying in this qualification will you be resident in New Zealand or overseas?

Do you expect to complete the academic requirements in order to complete your programme of study in this year of enrolment?

BPersonal Details


Gender


Citizenship/Residency




What ethnic group(s) do you belong to? You may choose up to three different ethnic groups; Your first choice is the group you most identify with.

Proof of Identity
You are required to provide documents to verify your identity and citizenship. Your enrolment cannot be confirmed until we have sighted complete documentary evidence of your full legal name, date of birth and citizenship. Acceptable documents include

  • Birth Certificate, Passport or Certificate of Citizenship (with place of birth stated as New Zealand, Cook Islands, Tokelau, Niue, or Australia).
  • Overseas Passport with residency stamp, work permit or student permit for international students.
  • Certificate of Identity (from the New Zealand Immigration Service).
  • Marriage Certificate or Deed Poll declaration (for change of legal name only).
  • Statement of Whakapapa: A verified copy of a whakapapa statement is acceptable only when a birth certificate cannot be obtained. Both the learner and a kaumatua must sign the whakapapa as evidence of identity and citizenship.

Please upload documents in these formats: pdf, doc, docx, jpg, gif, png. Images should be cropped and/or on a plain background (e.g. no furniture in the background)

This information is confidential to NorthTec, but it could be used by the Student Advisors to obtain further resources and support that will assist you in your studies.

Do you live with the effects of significant health injury, long-term illness or disability?

CContact Information

Please enter your details so we can get in touch with you.

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Please enter your details of your next of kin, close friend, who we can contact in case of emergency

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DAcademic Record

What is the highest level of achievement you hold from a secondary school?







Where did you last attend secondary school?

 
 
Have you ever enrolled in a tertiary education institution either in New Zealand or overseas since leaving school?

EAdditional Information

How do you intend to pay for your study?




Are you currently (this year) a NorthTec staff member

FDeclaration

Privacy – All personal information that you provide on a Te Pūkenga website will be held exclusively by Te Pūkenga for the purposes set out in our Privacy Policy.

By providing your personal information, you are deemed to consent to your information being shared within Te Pūkenga, in order to ensure that Te Pūkenga is able to perform the functions that it is established to perform and best serve all staff and learners.

Fees – I agree to pay all fees as they become due, and to meet any late fees and collection charges associated with debt recovery.

Rules – I have read and agree to comply with the statutes, regulations, rules and policies of NorthTec.

Health and Safety – You undertake to disclose, prior to enrolment, all health information that might affect your ability to complete the programme or the health and safety of yourself or others. If you do not disclose all relevant information staff will be unable to advise you appropriately and you may enrol on a programme that you are unable to complete.

Educational Regulatory Framework – I have read and agree with the information in the document entitled “Notification Document: Guidance as to how Te Pūkenga will transition learners onto the new educational regulatory framework and terms and conditions of enrolment from 1 January 2023”

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