NZ Diploma in Christian Studies Application for Admission

Personal Information

We're glad you're interested in study with us.

The purpose of this enrolment form is to obtain from you the information we need to enrol you into a course at our College. We also need to collect information from you which is required for statistical and registration reasons. Please fill in the form properly by completing all sections of the form. You can then go on to enrol in specific courses that are coming up.

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* 1. Personal Details

Family Name

First Name(s)

If you have previously enrolled at this College under another name, what was that name?

Preferred Name

Preferred Title

Next of Kin (Name):

Next of Kin (Phone):

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* 2. What is your date of birth

Date / Time

Date

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* 3. Gender

Female

Male

Diverse

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* 4. Contact information

Address *

Address 2 *

City/Town *

Diocese *

ZIP/Postal Code

Email Address *

Phone Number *

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* 5. Check the box which best describes your citizenship or permanent residency status.

New Zealand Citizen (NZL)

New Zealand Permanent Resident (NZP)

Australian Citizen (AUS)

Other

Please specify if Öther

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* 6. Please upload a scanned certified copy of an original form of proof of residency, such as a passport or birth certificate.

Your ID must be verified (certified) by a person of suitable authority from your local community. We will not be able to progress your application if your documents are not verified appropriately. The following are examples of people who can verify your documents: a Lawyer, Notary Public, Justice of the Peace, Court Registrar or Deputy Registrar, minister or Ministry Educator, designated St John's College staff member. The authorised person must note all of the following, in English, on the copied document: "Certified true copy" his/her authority, his/her name, his/her signature, his/her official stamp.

PDF, JPEG, JPG, PNG, GIF file types only.

Choose File

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* 7. Which ethnic group(s) do you belong to? You may tick up to three boxes, which apply to you.

	First Choice	Second Choice	Third Choice
Ethnicity	Ethnicity First Choice menu	Ethnicity Second Choice menu	Ethnicity Third Choice menu

If other please specify

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* 8. If you identified as NZ Maori in Question 5, what is the name of your Iwi.
You may enter more than one Iwi. If you do not know your Iwi, please enter "Don't know"

Iwi:
Rohe (Iwi home area)

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* 9. What was your MAIN activity or occupation in New Zealand at 1 October last year?
You may tick more than one box

Secondary School student

Wage or salary worker

University student

College of Education student

non-employed or beneficiary/(excluding retired)

Self-employed

Polytechnic student

House person or retired

Private Training Establishment student

Wananga student

Overseas (irrespective of occupation)

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* 10. Do you live with the effects of significant injury, long term illness, or disability?
The information you supply is confidential.
*the completion of this section is not compulsory

Yes

Choose not to answer

If yes, how would you describe your impairment (including learning difficulties), disability or long term medical condition

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* 1. Personal Details

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* 2. What is your date of birth

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* 3. Gender

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* 4. Contact information

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* 5. Check the box which best describes your citizenship or permanent residency status.

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* 6. Please upload a scanned certified copy of an original form of proof of residency, such as a passport or birth certificate.

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* 7. Which ethnic group(s) do you belong to? You may tick up to three boxes, which apply to you.

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* 8. If you identified as NZ Maori in Question 5, what is the name of your Iwi.You may enter more than one Iwi. If you do not know your Iwi, please enter "Don't know"

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* 9. What was your MAIN activity or occupation in New Zealand at 1 October last year? You may tick more than one box

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* 10. Do you live with the effects of significant injury, long term illness, or disability?The information you supply is confidential.*the completion of this section is not compulsory

* 8. If you identified as NZ Maori in Question 5, what is the name of your Iwi.
You may enter more than one Iwi. If you do not know your Iwi, please enter "Don't know"

* 9. What was your MAIN activity or occupation in New Zealand at 1 October last year?
You may tick more than one box

* 10. Do you live with the effects of significant injury, long term illness, or disability?
The information you supply is confidential.
*the completion of this section is not compulsory