Enrolment - Enrolment Information Intended Start Date * Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Month January February March April May June July August September October November December Month Year 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 Year Start Year Level - Select 1 2 3 4 5 6 7 8 9 10 11 12 13 The student's academic year level at entry Student Details Student Legal Name * First name Middle name/s Last name Please enter the student's legal name as it appears on their Birth Certificate. Preferred Name First name Middle name/s Last name Date of Birth * Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Month January February March April May June July August September October November December Month Year 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Year Gender - Select Male / Tāne Female / Wahine Gender diverse not further defined / Ira tāngata kōwhiri kore Transgender male to female / Whakawahine Transgender female to male / Tangata ira tāne Gender diverse not elsewhere classified / Ira tāngata kōwhiri kore Select gender - Please select Female / Wahine Male / Tāne Please select reported gender Boarder Status Full Week None Country of Birth * - Select New Zealand Australia Samoa India China Germany Japan United Kingdom United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia, Plurinational State of Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cabo Verde Central African Republic Chad Chile Colombia Comoros Congo Congo, the Democratic Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hungary Iceland Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Western Sahara Yemen Zambia Zimbabwe Country of Citizenship * - Select New Zealand Australia Samoa India China Germany Japan United Kingdom United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia, Plurinational State of Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cabo Verde Central African Republic Chad Chile Colombia Comoros Congo Congo, the Democratic Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hungary Iceland Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Western Sahara Yemen Zambia Zimbabwe Language Spoken at home * - Select English Maori Samoan Hindi Mandarin French German Tongan Afrikaans Spanish Korean Dutch Japanese Fijian Cook Island Maori Gilbertese Niue Rarotongan Tahitian Tokelauan Afghani Albanian Amharic Arabic Aramaic Armenian Assyrian Bahasa Malay Bengali Bulgarian Burmese Cantonese Catalan Croatian Czech Egyptian Esperanto Farsi (Persian) Finnish Gaelic Greek Gujerati Hakka Hebrew Hmong Hokkien Hungarian Indonesian Iranian Italian Javanese Khmer Kurdish Lao Lithuanian Malay Malayalam Maltese New Zealand Sign Language Other African Languages Other Chinese Other European Other Indian Language Other Language Other Middle East Languages Other Pacific Languages Other South-East Asian Polish Portuguese Punjabi Romanian Russian Serbian Sinhalese Slovak Slovenian Somali Swahili Swedish Tagalog/Filipino Tamil Tetum (Timor) Thai Turkish Ukranian Urdu Vietnamese Welsh Yiddish Ethnicity * Select up to three options - Select NZ European Maori Samoan Cook Islands Maori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghani African African American Afrikaner Aitutaki Islander Albanian Algerian American Anglo Indian Arab Argentinian Armenian Asian Assyrian Atiu Islander Austral Islander Australian Austrian Banaban Bangladeshi Belgian Belorussian Bengali Bhutanese Bismark Archipelagoan Bolivian Bosnian Bougainvillean Brazilian British Bulgarian Burgher Burmese Burundian Cambodian Cambodian Chinese Canadian Caroline Islander Celtic Central American Indian Chamorro Channel Islander Chilean Chin Colombian Congolese Cornish Corsican Costa Rican Croatian Cypriot Czech Dalmatian Danish Dutch Easter Islander Ecuadorian Egyptian English Eritrean Estonian Ethiopian Eurasian European Falkland Islander Fijian Indian Finnish Flemish French Gaelic Gambier Islander German Ghanaian Greek Greenlander Guadalcanalian Guatemalan Gujarati Guyanese Gypsy Hawaiian Honduran Hong Kong Chinese Hungarian Icelandic Indian Indian Tamil Indigenous Australian Indonesian Inuit Iranian/Persian Iraqi Irish Israeli/Jewish Italian Jamaican Japanese Jordanian Kanak Karen Kenyan Kiribati Korean Kurd Lao Latin American Latin American Creole Latvian Lebanese Libyan Lithuanian Macedonian Malaitian Malay Malaysian Chinese Malaysian Indian Maldivian Maltese Malvinian Mangaia Islander Manihiki Islander Manus Islander Manx Marianas Islander Marquesas Islander Marshall Islander Mauke Islander Mauritian Mexican Middle Eastern Mitiaro Islander Mongolian Moroccan Nauruan Nepalese New Britain Islander New Caledonian New Georgian New Irelander New Zealander Ni Vanuatu Nicaraguan Nigerian North American Indian Norwegian Not Stated Omani Orkney Islander Other African Other Asian Other British Other Chinese Other Ethnicity Other European Other Indian Other Latin American Other Middle Eastern Other Pacific Peoples Other South African Other South Slav Other Southeast Asian Other Sri Lankan Other Zimbabwean Pacific Peoples Pakistani Palau Islander Palestinian Palmerston Islander Panamanian Papua New Guinean Paraguayan Penrhyn Islander Peruvian Phoenix Islander Pitcairn Islander Polish Portuguese Puerto Rican Pukapuka Islander Punjabi Rakahanga Islander Rarotongan Romanian Rotuman Russian Santa Cruz Islander Sardinian Scottish Serbian Seychellois Shetland Islander Sikh Singaporean Chinese Sinhalese Slavic Slovak Slovenian Solomon Islander Somali South African European South African Indian South American Indian South Slav Southeast Asian Spanish Sri Lankan Sri Lankan Tamil Sudanese Swedish Swiss Syrian Tahitian Taiwanese Thai Tibetan Torres Strait Islander Tuamotu Islander Tunisian Turkish Tuvaluan Ugandan Ukrainian United States Creole Uruguayan Venezuelan Vietnamese Vietnamese Chinese Wake Islander Wallis Islander Welsh West Indian Yap Islander Yemeni Zambian Zimbabwean - Select NZ European Maori Samoan Cook Islands Maori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghani African African American Afrikaner Aitutaki Islander Albanian Algerian American Anglo Indian Arab Argentinian Armenian Asian Assyrian Atiu Islander Austral Islander Australian Austrian Banaban Bangladeshi Belgian Belorussian Bengali Bhutanese Bismark Archipelagoan Bolivian Bosnian Bougainvillean Brazilian British Bulgarian Burgher Burmese Burundian Cambodian Cambodian Chinese Canadian Caroline Islander Celtic Central American Indian Chamorro Channel Islander Chilean Chin Colombian Congolese Cornish Corsican Costa Rican Croatian Cypriot Czech Dalmatian Danish Dutch Easter Islander Ecuadorian Egyptian English Eritrean Estonian Ethiopian Eurasian European Falkland Islander Fijian Indian Finnish Flemish French Gaelic Gambier Islander German Ghanaian Greek Greenlander Guadalcanalian Guatemalan Gujarati Guyanese Gypsy Hawaiian Honduran Hong Kong Chinese Hungarian Icelandic Indian Indian Tamil Indigenous Australian Indonesian Inuit Iranian/Persian Iraqi Irish Israeli/Jewish Italian Jamaican Japanese Jordanian Kanak Karen Kenyan Kiribati Korean Kurd Lao Latin American Latin American Creole Latvian Lebanese Libyan Lithuanian Macedonian Malaitian Malay Malaysian Chinese Malaysian Indian Maldivian Maltese Malvinian Mangaia Islander Manihiki Islander Manus Islander Manx Marianas Islander Marquesas Islander Marshall Islander Mauke Islander Mauritian Mexican Middle Eastern Mitiaro Islander Mongolian Moroccan Nauruan Nepalese New Britain Islander New Caledonian New Georgian New Irelander New Zealander Ni Vanuatu Nicaraguan Nigerian North American Indian Norwegian Not Stated Omani Orkney Islander Other African Other Asian Other British Other Chinese Other Ethnicity Other European Other Indian Other Latin American Other Middle Eastern Other Pacific Peoples Other South African Other South Slav Other Southeast Asian Other Sri Lankan Other Zimbabwean Pacific Peoples Pakistani Palau Islander Palestinian Palmerston Islander Panamanian Papua New Guinean Paraguayan Penrhyn Islander Peruvian Phoenix Islander Pitcairn Islander Polish Portuguese Puerto Rican Pukapuka Islander Punjabi Rakahanga Islander Rarotongan Romanian Rotuman Russian Santa Cruz Islander Sardinian Scottish Serbian Seychellois Shetland Islander Sikh Singaporean Chinese Sinhalese Slavic Slovak Slovenian Solomon Islander Somali South African European South African Indian South American Indian South Slav Southeast Asian Spanish Sri Lankan Sri Lankan Tamil Sudanese Swedish Swiss Syrian Tahitian Taiwanese Thai Tibetan Torres Strait Islander Tuamotu Islander Tunisian Turkish Tuvaluan Ugandan Ukrainian United States Creole Uruguayan Venezuelan Vietnamese Vietnamese Chinese Wake Islander Wallis Islander Welsh West Indian Yap Islander Yemeni Zambian Zimbabwean - Select NZ European Maori Samoan Cook Islands Maori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghani African African American Afrikaner Aitutaki Islander Albanian Algerian American Anglo Indian Arab Argentinian Armenian Asian Assyrian Atiu Islander Austral Islander Australian Austrian Banaban Bangladeshi Belgian Belorussian Bengali Bhutanese Bismark Archipelagoan Bolivian Bosnian Bougainvillean Brazilian British Bulgarian Burgher Burmese Burundian Cambodian Cambodian Chinese Canadian Caroline Islander Celtic Central American Indian Chamorro Channel Islander Chilean Chin Colombian Congolese Cornish Corsican Costa Rican Croatian Cypriot Czech Dalmatian Danish Dutch Easter Islander Ecuadorian Egyptian English Eritrean Estonian Ethiopian Eurasian European Falkland Islander Fijian Indian Finnish Flemish French Gaelic Gambier Islander German Ghanaian Greek Greenlander Guadalcanalian Guatemalan Gujarati Guyanese Gypsy Hawaiian Honduran Hong Kong Chinese Hungarian Icelandic Indian Indian Tamil Indigenous Australian Indonesian Inuit Iranian/Persian Iraqi Irish Israeli/Jewish Italian Jamaican Japanese Jordanian Kanak Karen Kenyan Kiribati Korean Kurd Lao Latin American Latin American Creole Latvian Lebanese Libyan Lithuanian Macedonian Malaitian Malay Malaysian Chinese Malaysian Indian Maldivian Maltese Malvinian Mangaia Islander Manihiki Islander Manus Islander Manx Marianas Islander Marquesas Islander Marshall Islander Mauke Islander Mauritian Mexican Middle Eastern Mitiaro Islander Mongolian Moroccan Nauruan Nepalese New Britain Islander New Caledonian New Georgian New Irelander New Zealander Ni Vanuatu Nicaraguan Nigerian North American Indian Norwegian Not Stated Omani Orkney Islander Other African Other Asian Other British Other Chinese Other Ethnicity Other European Other Indian Other Latin American Other Middle Eastern Other Pacific Peoples Other South African Other South Slav Other Southeast Asian Other Sri Lankan Other Zimbabwean Pacific Peoples Pakistani Palau Islander Palestinian Palmerston Islander Panamanian Papua New Guinean Paraguayan Penrhyn Islander Peruvian Phoenix Islander Pitcairn Islander Polish Portuguese Puerto Rican Pukapuka Islander Punjabi Rakahanga Islander Rarotongan Romanian Rotuman Russian Santa Cruz Islander Sardinian Scottish Serbian Seychellois Shetland Islander Sikh Singaporean Chinese Sinhalese Slavic Slovak Slovenian Solomon Islander Somali South African European South African Indian South American Indian South Slav Southeast Asian Spanish Sri Lankan Sri Lankan Tamil Sudanese Swedish Swiss Syrian Tahitian Taiwanese Thai Tibetan Torres Strait Islander Tuamotu Islander Tunisian Turkish Tuvaluan Ugandan Ukrainian United States Creole Uruguayan Venezuelan Vietnamese Vietnamese Chinese Wake Islander Wallis Islander Welsh West Indian Yap Islander Yemeni Zambian Zimbabwean Iwi - Select Aotea, iwi not named Hapū Affiliated to More Than One Iwi Hauraki / Pare Hauraki, iwi not named Hauraki Region, Iwi not named Horouta, iwi not named Kāti Māmoe Kurahaupō, iwi not named Mahuru, iwi not named Māmari, iwi not named Manawatū/Horowhenua/Te Whanganui-a-Tara Region, Iwi not named Mātaatua, iwi not named Maungaharuru Tangitū Mōkai Pātea, iwi not named Moriori Muaūpoko Muriwhenua, iwi not named Ngā Pōtiki ā Tamapahore Ngā Rauru Ngā Ruahine Ngāi Tahu / Kāi Tahu Ngāi Tai (Tauranga Moana/Mātaatua) Ngāi Tai ki Tāmaki Ngāi Tai, region not known Ngāi Takoto Ngāi Tāmanuhiri Ngāi Te Ohuake (Rangitīkei) Ngāi Te Rangi Ngāpuhi Ngāpuhi ki Whaingaroa-Ngāti Kahu ki Whaingaroa Ngāti Apa (Rangitīkei) Ngāti Apa ki Te Rā Tō Ngāti Apa, region not known Ngāti Awa Ngāti Hako Ngāti Haua (Taumarunui) Ngāti Haua (Waikato) Ngāti Haua, region not known Ngāti Hauiti (Rangitīkei) Ngāti Hei Ngāti Hīkairo Ngāti Hine (Te Tai Tokerau) Ngāti Hineuru Ngāti Kahu Ngāti Kahungunu ki Heretaunga Ngāti Kahungunu ki Tamakinui a Rua Ngāti Kahungunu ki Tamatea Ngāti Kahungunu ki Te Wairoa Ngāti Kahungunu ki Te Whanganui-a-Orotu Ngāti Kahungunu ki Wairarapa Ngāti Kahungunu, region not known Ngāti Kauwhata Ngāti Kearoa / Ngāti Tuarā Ngāti Koata Ngāti Korokī Kahukura Ngāti Kuia Ngāti Kurī Ngāti Mākino Ngāti Manawa Ngāti Maniapoto Ngāti Manuhiri Ngāti Maru (Hauraki) Ngāti Maru (Taranaki) Ngāti Maru, region not known Ngāti Mutunga (Taranaki) Ngāti Mutunga (Wharekauri/Chatham Islands) Ngāti Mutunga, region not known Ngāti Pāhauwera Ngāti Paoa Ngāti Pikiao (Te Arawa) Ngāti Porou Ngāti Porou ki Harataunga ki Mataora Ngāti Pūkenga Ngāti Pūkenga ki Waiau Ngāti Rāhiri Tumutumu Ngāti Rākaipaaka Ngāti Rangi (Ruapehu, Whanganui) Ngāti Ranginui Ngāti Rangiteaorere (Te Arawa) Ngāti Rangitihi (Te Arawa) Ngāti Rangiwewehi (Te Arawa) Ngāti Rārua Ngāti Raukawa (Horowhenua/Manawatū) Ngāti Raukawa, region not known Ngāti Rēhua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama (Te Waipounamu/South Island) Ngāti Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington) Ngāti Tama, region not known Ngāti Tamakōpiri (Rangitīkei) Ngāti Tamaoho Ngāti Tamaterā Ngāti Tara Tokanui Ngāti Tarāwhai (Te Arawa) Ngāti Te Ata Ngāti Tipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Tukorehe Ngāti Tūwharetoa (ki Taupō) Ngāti Tūwharetoa ki Kawerau Ngāti Tūwharetoa, region not known Ngāti Wai Ngāti Whakaue (Te Arawa) Ngāti Whanaunga Ngāti Whare Ngāti Whātua (not Ōrākei or Kaipara) Ngāti Whātua o Kaipara Ngāti Whātua o Ōrākei Ngāti Whitikaupeka (Rangitīkei) Ngātokimatawhaorua, iwi not named Not Stated Nukutere, iwi not named Pakakohi Patukirikiri Rangitāne (Manawatū) Rangitāne (Te Matau-a-Māui/Hawke's Bay/Wairarapa) Rangitāne (Te Waipounamu/South Island) Rangitāne o Tamaki nui ā Rua Rangitāne, region not known Raukawa (Waikato) Rereahu Rongomaiwahine (Te Māhia) Rongowhakaata Tainui, iwi not named Tākitimu, iwi not named Tamahaki (Ruapehu, Waimarino) Tamakana (Ruapehu, Waimarino) Tangāhoe Tapuika (Te Arawa) Taranaki Taranaki Region, Iwi not named Tauranga Moana, iwi not named Tauranga Moana/Mātaatua Region, Iwi not named Te Aitanga ā Hauiti Te Aitanga-a-Māhaki Te Ākitai-Waiohua Te Arawa, iwi not named Te Arawa/Taupō Region, Iwi not named Te Ati Haunui-a-Pāpārangi Te Atiawa (Taranaki) Te Atiawa (Te Waipounamu/South Island) Te Atiawa (Te Whanganui-a-Tara/Wellington) Te Atiawa ki Whakarongotai Te Atiawa, region not known Te Aupōuri Te Hika o Pāpāuma Te Kawerau ā Maki Te Matau-a-Māui/Wairarapa Region, Iwi not named Te Paatu Te Rarawa Te Roroa Te Tai Rāwhiti Region, Iwi not named Te Tai Tokerau/Tāmaki-makaurau Region, Iwi not named Te Tauihu o Te Waka a Māui, iwi not named Te Upokorehe Te Uri-o-Hau Te Waipounamu/Wharekauri Region, Iwi not named Te Whānau-ā-Apanui Tokomaru, iwi not named Tūhoe Tūhourangi (Te Arawa) Tūranganui a Kiwa, iwi not named Uenuku (Ruapehu, Waimarino) Uenuku-Kōpako (Te Arawa) Waikato Waikato/Te Rohe Pōtae Region, Iwi not named Waitaha (Te Arawa) Waitaha (Te Waipounamu/South Island) Waitaha, region not known Whakatōhea Whanganui/Rangitīkei Region, Iwi not named - Select Aotea, iwi not named Hapū Affiliated to More Than One Iwi Hauraki / Pare Hauraki, iwi not named Hauraki Region, Iwi not named Horouta, iwi not named Kāti Māmoe Kurahaupō, iwi not named Mahuru, iwi not named Māmari, iwi not named Manawatū/Horowhenua/Te Whanganui-a-Tara Region, Iwi not named Mātaatua, iwi not named Maungaharuru Tangitū Mōkai Pātea, iwi not named Moriori Muaūpoko Muriwhenua, iwi not named Ngā Pōtiki ā Tamapahore Ngā Rauru Ngā Ruahine Ngāi Tahu / Kāi Tahu Ngāi Tai (Tauranga Moana/Mātaatua) Ngāi Tai ki Tāmaki Ngāi Tai, region not known Ngāi Takoto Ngāi Tāmanuhiri Ngāi Te Ohuake (Rangitīkei) Ngāi Te Rangi Ngāpuhi Ngāpuhi ki Whaingaroa-Ngāti Kahu ki Whaingaroa Ngāti Apa (Rangitīkei) Ngāti Apa ki Te Rā Tō Ngāti Apa, region not known Ngāti Awa Ngāti Hako Ngāti Haua (Taumarunui) Ngāti Haua (Waikato) Ngāti Haua, region not known Ngāti Hauiti (Rangitīkei) Ngāti Hei Ngāti Hīkairo Ngāti Hine (Te Tai Tokerau) Ngāti Hineuru Ngāti Kahu Ngāti Kahungunu ki Heretaunga Ngāti Kahungunu ki Tamakinui a Rua Ngāti Kahungunu ki Tamatea Ngāti Kahungunu ki Te Wairoa Ngāti Kahungunu ki Te Whanganui-a-Orotu Ngāti Kahungunu ki Wairarapa Ngāti Kahungunu, region not known Ngāti Kauwhata Ngāti Kearoa / Ngāti Tuarā Ngāti Koata Ngāti Korokī Kahukura Ngāti Kuia Ngāti Kurī Ngāti Mākino Ngāti Manawa Ngāti Maniapoto Ngāti Manuhiri Ngāti Maru (Hauraki) Ngāti Maru (Taranaki) Ngāti Maru, region not known Ngāti Mutunga (Taranaki) Ngāti Mutunga (Wharekauri/Chatham Islands) Ngāti Mutunga, region not known Ngāti Pāhauwera Ngāti Paoa Ngāti Pikiao (Te Arawa) Ngāti Porou Ngāti Porou ki Harataunga ki Mataora Ngāti Pūkenga Ngāti Pūkenga ki Waiau Ngāti Rāhiri Tumutumu Ngāti Rākaipaaka Ngāti Rangi (Ruapehu, Whanganui) Ngāti Ranginui Ngāti Rangiteaorere (Te Arawa) Ngāti Rangitihi (Te Arawa) Ngāti Rangiwewehi (Te Arawa) Ngāti Rārua Ngāti Raukawa (Horowhenua/Manawatū) Ngāti Raukawa, region not known Ngāti Rēhua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama (Te Waipounamu/South Island) Ngāti Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington) Ngāti Tama, region not known Ngāti Tamakōpiri (Rangitīkei) Ngāti Tamaoho Ngāti Tamaterā Ngāti Tara Tokanui Ngāti Tarāwhai (Te Arawa) Ngāti Te Ata Ngāti Tipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Tukorehe Ngāti Tūwharetoa (ki Taupō) Ngāti Tūwharetoa ki Kawerau Ngāti Tūwharetoa, region not known Ngāti Wai Ngāti Whakaue (Te Arawa) Ngāti Whanaunga Ngāti Whare Ngāti Whātua (not Ōrākei or Kaipara) Ngāti Whātua o Kaipara Ngāti Whātua o Ōrākei Ngāti Whitikaupeka (Rangitīkei) Ngātokimatawhaorua, iwi not named Not Stated Nukutere, iwi not named Pakakohi Patukirikiri Rangitāne (Manawatū) Rangitāne (Te Matau-a-Māui/Hawke's Bay/Wairarapa) Rangitāne (Te Waipounamu/South Island) Rangitāne o Tamaki nui ā Rua Rangitāne, region not known Raukawa (Waikato) Rereahu Rongomaiwahine (Te Māhia) Rongowhakaata Tainui, iwi not named Tākitimu, iwi not named Tamahaki (Ruapehu, Waimarino) Tamakana (Ruapehu, Waimarino) Tangāhoe Tapuika (Te Arawa) Taranaki Taranaki Region, Iwi not named Tauranga Moana, iwi not named Tauranga Moana/Mātaatua Region, Iwi not named Te Aitanga ā Hauiti Te Aitanga-a-Māhaki Te Ākitai-Waiohua Te Arawa, iwi not named Te Arawa/Taupō Region, Iwi not named Te Ati Haunui-a-Pāpārangi Te Atiawa (Taranaki) Te Atiawa (Te Waipounamu/South Island) Te Atiawa (Te Whanganui-a-Tara/Wellington) Te Atiawa ki Whakarongotai Te Atiawa, region not known Te Aupōuri Te Hika o Pāpāuma Te Kawerau ā Maki Te Matau-a-Māui/Wairarapa Region, Iwi not named Te Paatu Te Rarawa Te Roroa Te Tai Rāwhiti Region, Iwi not named Te Tai Tokerau/Tāmaki-makaurau Region, Iwi not named Te Tauihu o Te Waka a Māui, iwi not named Te Upokorehe Te Uri-o-Hau Te Waipounamu/Wharekauri Region, Iwi not named Te Whānau-ā-Apanui Tokomaru, iwi not named Tūhoe Tūhourangi (Te Arawa) Tūranganui a Kiwa, iwi not named Uenuku (Ruapehu, Waimarino) Uenuku-Kōpako (Te Arawa) Waikato Waikato/Te Rohe Pōtae Region, Iwi not named Waitaha (Te Arawa) Waitaha (Te Waipounamu/South Island) Waitaha, region not known Whakatōhea Whanganui/Rangitīkei Region, Iwi not named - Select Aotea, iwi not named Hapū Affiliated to More Than One Iwi Hauraki / Pare Hauraki, iwi not named Hauraki Region, Iwi not named Horouta, iwi not named Kāti Māmoe Kurahaupō, iwi not named Mahuru, iwi not named Māmari, iwi not named Manawatū/Horowhenua/Te Whanganui-a-Tara Region, Iwi not named Mātaatua, iwi not named Maungaharuru Tangitū Mōkai Pātea, iwi not named Moriori Muaūpoko Muriwhenua, iwi not named Ngā Pōtiki ā Tamapahore Ngā Rauru Ngā Ruahine Ngāi Tahu / Kāi Tahu Ngāi Tai (Tauranga Moana/Mātaatua) Ngāi Tai ki Tāmaki Ngāi Tai, region not known Ngāi Takoto Ngāi Tāmanuhiri Ngāi Te Ohuake (Rangitīkei) Ngāi Te Rangi Ngāpuhi Ngāpuhi ki Whaingaroa-Ngāti Kahu ki Whaingaroa Ngāti Apa (Rangitīkei) Ngāti Apa ki Te Rā Tō Ngāti Apa, region not known Ngāti Awa Ngāti Hako Ngāti Haua (Taumarunui) Ngāti Haua (Waikato) Ngāti Haua, region not known Ngāti Hauiti (Rangitīkei) Ngāti Hei Ngāti Hīkairo Ngāti Hine (Te Tai Tokerau) Ngāti Hineuru Ngāti Kahu Ngāti Kahungunu ki Heretaunga Ngāti Kahungunu ki Tamakinui a Rua Ngāti Kahungunu ki Tamatea Ngāti Kahungunu ki Te Wairoa Ngāti Kahungunu ki Te Whanganui-a-Orotu Ngāti Kahungunu ki Wairarapa Ngāti Kahungunu, region not known Ngāti Kauwhata Ngāti Kearoa / Ngāti Tuarā Ngāti Koata Ngāti Korokī Kahukura Ngāti Kuia Ngāti Kurī Ngāti Mākino Ngāti Manawa Ngāti Maniapoto Ngāti Manuhiri Ngāti Maru (Hauraki) Ngāti Maru (Taranaki) Ngāti Maru, region not known Ngāti Mutunga (Taranaki) Ngāti Mutunga (Wharekauri/Chatham Islands) Ngāti Mutunga, region not known Ngāti Pāhauwera Ngāti Paoa Ngāti Pikiao (Te Arawa) Ngāti Porou Ngāti Porou ki Harataunga ki Mataora Ngāti Pūkenga Ngāti Pūkenga ki Waiau Ngāti Rāhiri Tumutumu Ngāti Rākaipaaka Ngāti Rangi (Ruapehu, Whanganui) Ngāti Ranginui Ngāti Rangiteaorere (Te Arawa) Ngāti Rangitihi (Te Arawa) Ngāti Rangiwewehi (Te Arawa) Ngāti Rārua Ngāti Raukawa (Horowhenua/Manawatū) Ngāti Raukawa, region not known Ngāti Rēhua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama (Te Waipounamu/South Island) Ngāti Tama ki Te Upoko o Te Ika (Te Whanganui-a-Tara/Wellington) Ngāti Tama, region not known Ngāti Tamakōpiri (Rangitīkei) Ngāti Tamaoho Ngāti Tamaterā Ngāti Tara Tokanui Ngāti Tarāwhai (Te Arawa) Ngāti Te Ata Ngāti Tipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Tukorehe Ngāti Tūwharetoa (ki Taupō) Ngāti Tūwharetoa ki Kawerau Ngāti Tūwharetoa, region not known Ngāti Wai Ngāti Whakaue (Te Arawa) Ngāti Whanaunga Ngāti Whare Ngāti Whātua (not Ōrākei or Kaipara) Ngāti Whātua o Kaipara Ngāti Whātua o Ōrākei Ngāti Whitikaupeka (Rangitīkei) Ngātokimatawhaorua, iwi not named Not Stated Nukutere, iwi not named Pakakohi Patukirikiri Rangitāne (Manawatū) Rangitāne (Te Matau-a-Māui/Hawke's Bay/Wairarapa) Rangitāne (Te Waipounamu/South Island) Rangitāne o Tamaki nui ā Rua Rangitāne, region not known Raukawa (Waikato) Rereahu Rongomaiwahine (Te Māhia) Rongowhakaata Tainui, iwi not named Tākitimu, iwi not named Tamahaki (Ruapehu, Waimarino) Tamakana (Ruapehu, Waimarino) Tangāhoe Tapuika (Te Arawa) Taranaki Taranaki Region, Iwi not named Tauranga Moana, iwi not named Tauranga Moana/Mātaatua Region, Iwi not named Te Aitanga ā Hauiti Te Aitanga-a-Māhaki Te Ākitai-Waiohua Te Arawa, iwi not named Te Arawa/Taupō Region, Iwi not named Te Ati Haunui-a-Pāpārangi Te Atiawa (Taranaki) Te Atiawa (Te Waipounamu/South Island) Te Atiawa (Te Whanganui-a-Tara/Wellington) Te Atiawa ki Whakarongotai Te Atiawa, region not known Te Aupōuri Te Hika o Pāpāuma Te Kawerau ā Maki Te Matau-a-Māui/Wairarapa Region, Iwi not named Te Paatu Te Rarawa Te Roroa Te Tai Rāwhiti Region, Iwi not named Te Tai Tokerau/Tāmaki-makaurau Region, Iwi not named Te Tauihu o Te Waka a Māui, iwi not named Te Upokorehe Te Uri-o-Hau Te Waipounamu/Wharekauri Region, Iwi not named Te Whānau-ā-Apanui Tokomaru, iwi not named Tūhoe Tūhourangi (Te Arawa) Tūranganui a Kiwa, iwi not named Uenuku (Ruapehu, Waimarino) Uenuku-Kōpako (Te Arawa) Waikato Waikato/Te Rohe Pōtae Region, Iwi not named Waitaha (Te Arawa) Waitaha (Te Waipounamu/South Island) Waitaha, region not known Whakatōhea Whanganui/Rangitīkei Region, Iwi not named Previous School The name of the school currently being attended Residence A / Primary Contact Details* This is the residence where the student lives the majority of the time. If the student also resides at another address at times due to family circumstances (ie Shared Custody) please tick "Student has another residence" below and complete the details. *Please note that communications from the school will be sent to Parent / Caregivers at both residences. Address * Please type your primary residence addresss in the above address search Flat/Unit Street number and name Rural Delivery Suburb Post Code Town/City Residence A - Caregiver 1 Full Name * e.g. Mother's name Email * e.g. dsmith@gmail.com Phone (Mobile) * e.g. 022 123 4567 Phone (Home) e.g. Please select your local phone prefix, eg 07 123 4567 Phone (Work) e.g. Please select your local phone prefix, eg 07 123 4567 Occupation e.g. Teacher at Otahuhu College Relationship Relationship to the student Residence A - Caregiver 2 Name e.g. Father's name Email e.g. bsmith@gmail.com Phone (Mobile) e.g. 022 123 4567 Phone (Home) e.g. Please select your local phone prefix, eg 07 123 4567 Phone (Work) e.g. Please select your local phone prefix, eg 07 123 4567 Occupation e.g. Teacher at Otahuhu College Relationship Relationship to the student Student has another residence Please tick if the student resides at another address at times Residence B / Alternative Contact Details Address * Please type your alternate residence addresss in the above address search Flat/Unit Street number and name Rural Delivery Suburb Post Code Town/City Residence B - Caregiver 1 Name e.g. Father's name Email e.g. dsmith@gmail.com Phone (Home) e.g. Please select your local phone prefix, eg 07 123 4567 Phone (Work) e.g. Please select your local phone prefix, eg 07 123 4567 Phone (Mobile) e.g. 022 123 4567 Occupation e.g. Teacher at Otahuhu College Relationship Relationship to the student Residence B - Caregiver 2 Name e.g. Step-Mother's name Email e.g. dsmith@gmail.com Phone (Home) e.g. Please select your local phone prefix, eg 07 123 4567 Phone (Work) e.g. Please select your local phone prefix, eg 07 123 4567 Phone (Mobile) e.g. 022 123 4567 Occupation e.g. Teacher at Otahuhu College Relationship Relationship to the student Health Details Doctor Name Health Notes List any medical problems including hearing, allergies and diagnosed conditions Additional Support Required List any additional learning support, needs or requirements this student may have Allowed Paracetamol No 1 tablet 2 tablets Allowed Ibuprofen Yes No Emergency Contact Emergency Contact 1 Contact Name * Home Phone * e.g. Please select your local phone prefix, eg 07 123 4567 Mobile Phone * e.g. 022 123 4567 Occupation e.g. Teacher at Otahuhu College Relationship to Student * e.g. Grandmother Emergency Contact 2 Contact Name Home Phone e.g. Please select your local phone prefix, eg 07 123 4567 Mobile Phone e.g. 022 123 4567 Occupation Occupation Relationship to Student e.g. Grandfather Early Childhood Education (ECE) Regularly attended Early Childhood Education - Select Yes Not Regularly, only occasionally with no on-going schedule No, did not attend ECE Years of ECE Attended 0.5 years 1 year 1.5 years 2 years 2.5 years 3 years 3.5 years 4 years 4.5 years 5 years Center Name Service Type Hours / Week Hours / Day - Select Attended, but don't know what type of service Attended, but only outside New Zealand Did not attend Home Based Service Kindergarten or Education and Care Centre Kohanga Reo Playcentre Playgroup or Pacific Islands EG Group The Correspondence School (Te Aho o Te Kuea Pounamu) Unable to establish if attended or not - Select Attended, but don't know what type of service Attended, but only outside New Zealand Did not attend Home Based Service Kindergarten or Education and Care Centre Kohanga Reo Playcentre Playgroup or Pacific Islands EG Group The Correspondence School (Te Aho o Te Kuea Pounamu) Unable to establish if attended or not - Select Attended, but don't know what type of service Attended, but only outside New Zealand Did not attend Home Based Service Kindergarten or Education and Care Centre Kohanga Reo Playcentre Playgroup or Pacific Islands EG Group The Correspondence School (Te Aho o Te Kuea Pounamu) Unable to establish if attended or not + Add Center Special Interests Academic Awards Sports Cultural/Arts Hobbies Languages Attachments The following documents will be required as part of the enrolment. These documents must be uploaded below (please bring originals to interview so they can be verified):- Most recent School Report.- Proof of address (eg. Utility bill/Rates bill/Bank Statement).- Birth Certificate.- Other certificates of academic/personal achievement.- Immunization records (eg. Well-child book or doctor).- Special needs (eg. any documents linked to specific learning/behavioural needs).You will need to bring originals of all of these documents to your enrolment meeting. Attachments + Add Select only Images, PDF's or Word Documents. Maximum file size: 8MB's School Questions Date of Entry into NZ * Agreements Health Centre Services * The Health Centre offers a range of free services for your child within the school grounds. First aid will always be provided. I agree to my child being administered common medications such as Panadol or Ibuprofen where deemed appropriate. If staff are unable to contact you in case of an accident or emergency, we may arrange for an ambulance for your child to be taken to a medical centre. I agree to meet any costs incurred. I understand the range of services provided and give consent to my child using the health centre. I agree Education Outside the Classroom * Otahuhu College values the concept of providing students with a variety of learning opportunities. Some of these occur beyond the boundaries of the classroom and some come with an element of risk. Tick the the box below to provide consent for your child to participate in activities deemed to be low risk while at Otahuhu College. Separate consent will be sought for activities deemed to be of higher risk. I agree Privacy of Information * I agree to Otahuhu College collecting personal information on my child. This information will be used for Ministry of Education purposes, accounting purposes of the Otahuhu College Board of Trustees, communication with the Alumni Association, NZ Qualifications Authority (NZQA) and other Government Agencies. I accept that this information may later be used for educational and pastoral care needs as well as statistical and/or research purposes. I am aware of the rights to access and to the correction of this information. I agree to Otahuhu College using visual images for promotional purposes. I agree Computing/Cyber Safety * Computer and other technology at Otahuhu College are to be used for educational purposes. Misuse of ICT equipment will result in discipline actions and loss of privileges. Any personal devices brought into the College are subject to the same use agreements as College provided ICT and may be confiscated if used inappropriately. Otahuhu College is not responsible for any loss or damage of personal devices including phones. I agree Declaration * I/We agree that the above named student will abide by the rules, regulations, proud history and traditions of Otahuhu College. I/We declare that the information on this form is true and correct. I/We authorise information to be collected, used and disclosed by the school for education and administrative purposes. I agree Binding Agreement * I have completed this on my own behalf and on the behalf of the student as a parent or caregiver. By submitting, I am delivering an electronic approval that will have the same effect as an original manual paper signature. I agree Remember me on this computer for up to 7 days Submit Enrolment Application Save Draft