Apply Online Welding Certificate Alpha Training Taranaki

Are you a current or previous student of Alpha Training & Development Centre? *

First Name *

Last Name *

Preferred Name (if required)

Sex *

NZQA/NSI Number

Date of Birth *

Address *

Suburb

City *

Post Code *

Phone Number *

Mobile Number *

Please Select *

First Name *

Last Name *

Home Phone *

Work Phone

Mobile Number *

Start Date *

End Date *

How did you find out about this programme/qualification (please tick one) *

Newspaper
School Careers Advisor
Youth Transition Service
ATDC Brochure/Flyer
Previous Student of ATDC
Word of Mouth
WINZ Case Manager
Current Student of ATDC
Internet/Website
Other

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

If yes, please expand

What year was your last year at secondary school? *

What was the name of the last secondary school you attended? State "overseas" if applicable. *

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

No formal secondary qualification (00)
Overseas Qualification (includes International Baccalaureate & Cambridge Exams) (09)
14 or more credits at any level (11)
NCEA level 1 or School Certificate (12)
NCEA level 2 or 6th Form Certificate (13)
University Entrance (14)
NCEA Level 3 or Bursary or Scholarship (15)
Other (98)
Not known (99)

Will this be the first year you have ever enrolled in a University, Polytechnic, College of Education, Private Training Establishment, or Wänanga? *

If you answered “No”, please enter the name of the institution you previously studied at and the year of your enrolment there:

Year *

What was your MAIN activity or occupation in New Zealand in the 6 months prior to enrolling on this programme? You may tick only one box *

Secondary school student (01)
Non-employed or beneficary (excluding retored) (02)
Wage or salary worker (03)
Self employed (04)
University student (05)
Polytechnic student (06)
College of education student (07)
House person or retired (08)
Overseas - irrespective of occupation (09)
Private training establishment student (11)
Wananga student (12)

Tick the box which best describes your citizenship or permanent residency status *

New Zealand Citizen
New Zealand Permanent Resident
Australian Citizen
Other

Please specify if other selected

What Ethnic group do you belong to. You may tick up to three boxes that apply to you *

NZ European/Pakeha
New Zealand Maori
Samoan
Tongan
Niue
Tokelauan
Fijian
Other Pacific People
British/Irish
Dutch
Greek
Polish
South Slav
Italian
German
Other European
Australian
Filipino
Vietnamese
Other Southeast Asian
Chinese
Indian
Sri Lankin
Japanese
Korean
Other Asian
Middle Eastern
Latin American
African
Other

Please specify if other selected

If you identified as New Zealand Maori in the previous question, what is the name of your iwi? *

IRD Number *

Upload New Zealand Passport

Upload Overseas Passport with residency stamp &/or work visa

Upload Birth Certificate with place of birth stated

Upload Certification or letter from Immigration confirming Citizenship

Upload NSI - National Student Index Number

Upload Verification of IRD Number - only required if applying for a student loan

Tick here all documents that you have attached to this enrolment form. Documents should be securely stapled to the back of the form. CERTIFIED COPIES OF: *

New Zealand Passport
Overseas Passport with Residency stamp or Work Visa
Birth Certificate with place of birth stated
Certificate or letter from Immigration confirming citizenship
NSI - National Student Index Number
Verification of IRD Number - only required if applying for a student loan

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 disclosure of personal information as described above. *

Enrolment Form

SECTION 1 - PERSONAL DETAILS

SECTION 2 - STUDENT CONTACT DETAILS

SECTION 3 - EMERGENCY CONTACT DETAILS

SECTION 4 - ENROLMENT DATE FOR CERTIFICATE IN WELDING L4 (PC9282)

SECTION 5 - MARKETING

SECTION 6 - DISABILITY

SECTION 7 - ACADEMIC INFORMATION - SECONDARY

SECTION 8 - ACADEMIC INFORMATION - TERTIARY STUDY

SECTION 9 - PRIOR ACTIVITY

SECTION 10 - CITIZENSHIP AND ETHNICITY

SECTION 11 - IRD NUMBER COLLECTION FOR STUDENT LOAD INTEREST WRITE-OFF

DOCUMENTATION

DECLARATION