SPCNM Enrolment Application Form

Enrolment Application Form

Apply to enrol now
Please download and complete this Questionnaire before starting your online Enrolment Application. Ensure that you have all your supporting documents ready to upload before commencing your application.

By clicking the option "Start Application”, I, as the Applicant, hereby consent to the processing of my provided personal information for the purpose of application and enrolment in the programme selected below. Please see our terms and conditions.
Intakeid
Progid
You Have Selected Intake
You Have Selected Programme
Select your Programme / Course
Total

Your Contact Details

Please provide us with your contact details
Title
What is your full, legal name?
Your First Name
Your Middle Name/s
Your Surname
Your Preferred First Name
Previous Name/s Known By
Phone Number

Pre-FixPhone Number
Email
example@example.com
Your Date of Birth

DayMonthYear
Date
Your Gender
Take a photo for your Student ID (head and shoulder passport-style)
IRD number
This field is optional and only used for Fees Free. You do not need to provide your IRD number if you have already used your Fees Free entitlement or know you or your qualification are not eligible for Fees Free.

Contact Continued

Please provide us with your contact details
Your Address

Street Address

Street Address Line 2

CityRegion

Post Code
Your Mail Address (if different from your physical address, above)

Street Address

Street Address Line 2

CityRegion

Post Code

Emergency Contact

In case of an emergency, who shall we contact?
Emergency Contact Relationship
Emergency Contact Name

First NameLast Name
Phone Number

Pre-FixPhone Number
Email
example@example.com

Nationality & Prior Education

We are required to collect the following information for statistical purposes
What is your Country of Birth?
What is your Country of Citizenship?
What is your Residency status?
What type is your current NZ visa?
What is your Visa number?
What is your Visa expiry date?

DayMonthYear
What is your passport number?
What is your passport expiry date?

DayMonthYear
NSN Number (if known)
This is the New Zealand Student Number
Please select at least one ethnic group you belong to. You may select up to three
Ethnicity 1
Ethnicity 2
Ethnicity 3
If you have selected Māori in the above selection, please identify up to three iwi you affiliate with. If you do not know your iwi, please enter "Do not know the name of iwi".
IWI 1
IWI 2
IWI 3
Is English your first language?
If 'No', please submit proof of English proficiency at the end of this application
What is your main activity at this time?
What is the name of the last secondary school you attended?
What was your last year at secondary school?
What is the highest level of achievement you hold from a 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 New Zealand Certificate at a certain level on the National Qualifications and Credentials Framework. Your New Zealand Record of Achievement shows you the standards, credits and qualifications you have achieved. Select only ONE option.
Please specify if "Overseas qualification" or "Other"
When did you gain this qualification?
Will this be the first time you have ever enrolled in a University, business division of Te Pūkenga (previously Institutes of Technology, Polytechnic or Industry Training Organisation), College of Education, Government Training Establishment, Private Training Establishment or Wānanga either in New Zealand or overseas since leaving school? Do not include enrolments in community or hobby classes.
Since you answered 'No' above, what was your first year?
What year do you expect to complete the academic requirements of your course/s in order to graduate with your qualification?
If applicable, what is your highest tertiary qualification?
Please submit proof of previous study (your official academic transcript and/or a copy of your NZQA record of achievement) with your supporting documents

Your Documents

Please upload your supporting documents
Please select identity document 1 – Certified Proof of Residency
Upload your identity document 1 – Certified Proof of Residency

Scan or take a photograph of your certified proof of residency – e.g. birth certificate or current passport showing your current legal name.
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Please select identity document 2 – Certified Photo ID
Upload your identity document 2 – Certified Photo ID

Scan or take a photograph of your certified photo ID – e.g. current passport or drivers licence showing your current legal name. This will need to be a different document to your proof of residency document.
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Please upload your Letter of Recommendation

Scan or take a photograph of your certified photo ID – e.g. current passport or drivers licence showing your current legal name. This will need to be a different document to your proof of residency document.
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Please upload your completed Questionnaire & Study Time Plan

Please upload your completed "Questionnaire & Study Time Plan - Please Tell Us About Yourself"
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Please upload any other required documents

If you have copies of your official academic transcript and/or a copy of your NZQA record of achievement from previous study, please upload here.
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Drivers License Number

Thank you

Please sign your application
How did you hear about us?
Math Challenge
Signature
Date

DayMonthYear
Should be Empty:

Enrolment Application Form

Your Contact Details

Contact Continued

Additional Support Needs

Emergency Contact

Nationality & Prior Education

Your Documents

Thank you