APPLY TO ENROL NOW
Instructions: This form is used to process your application and enrol you into a qualification at Te Whare Wānanga o Awanuiārangi and to provide statistical and registration information to the Ministry of Education.
Please complete all the fields, sign the form and attach any additional documentation that has been requested.
SECTION A - QUALIFICATION



Have you studied with us before? * 

Your National Index number will help us to validate your identity and eligibility to enrol
Do you intend to study* 
SECTION B - PERSONAL DETAILS
Gender Code* 
Have you been known by another name?* 




Preferred Title* 


Contact details






Is your postal address is different from above* 
Emergency Contact(Please enter your details of your next of kin, close friend, who we can contact in case of emergency)









Previous Occupation

We are required to provide this statistical information to the Ministry of education
Support Services and Disabilities (it is not compulsory to provide this information)
Do you live with the effects of long term illness, injury or disability? 
Citizenship
Where will you be resident while studying in this programme?* 
We are required to provide this statistical information to the Ministry of education
Select one of the following to best describe your New Zealand citizenship/residency or international status* 
We are required to provide this statistical information to the Ministry of education
Ethnicity
Please tick (maximum of three) the ethnic group(s) you identify with:* 

Language


Please select your level of competence English* 



Please select your level of competence in Maori* 



SECTION C - ACADEMIC INFORMATION
Secondary School



Your highest achievement may be a “traditional” award such as School Certificate, or you may have achieved a number of credits or a National Certificate at a certain level on the National Qualifications Framework. Your NZQA Record of Learning shows you how many credits you have.
Tertiary Study
Do you expect to complete the academic requirements of your course/s this year, in order to graduate with your qualification? * 
Will this be the first year you have ever enrolled in a University, Polytechnic, College of Education, Private Training Establishment, or Wānanga either in New Zealand or overseas since leaving school? Do not include enrolments in STAR, community or hobby classes.* 
Please enter the details of all previous tertiary study below
Did you complete the qualification? 



 
Upload Documentation
You can upload copies of your qualifications and identity documents. Please note that you will need to supply the original or certified copy of the original at your interview or mail to us at PO Box 1006, Francis Street, Whakatane 3158
NOTE- The maximum file size is 8MB





SECTION D – PAYMENT OF FEES, WITHDRAWAL, REFUND AND CANCELLATION POLICY
Payment of fees
In signing this Apply to Enrol Form you undertake to pay all fees as and when they become due, and to meet any late fees and collection charges associated with debt recovery. All fees and charges must be paid prior to the commencement of the programme.
Payment Details

DECLARATION
Fees* 

Rules* 
Promotional Consent 
Declaration - I declare that to the best of my knowledge all the information supplied on, and with, this enrolment form is true and complete, I agree to abide by the conditions described above, and I consent to the collection, use and disclosure of personal information as described above.