TupuOra Enrolment Form

Ākonga Enrolment Form

Enrol into one of our exciting programmes
By sending this form and clicking the option "Start application". I, as the Data Subject, hereby consent to the processing of my provided personal data for the purpose of application and enrolment into our advertised programmes and any further TupuOra communication purposes.
Select your Programme*

Programme Dates
By sending this form and clicking the option "Start application". I, as the Data Subject, hereby consent to the processing of my provided personal data for the purpose of application and enrolment into our advertised programmes and any further TupuOra communication purposes.
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Selected Programme (hidden)
Total

Ākonga Details

Please provide us with your personal details
Title
Your First Name*
Middle Name
Surname*
Preferred Name
Phone Number*

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

DayMonthYear
Date
Your Gender
Take a Photo for your Account
Please select an identity document*
How would you like to submit your identity document*

Upload a copy of my identity documentTake a picture of my identity document
Are you enrolling under your married name? If so, please upload your Marriage Certificate.*

YesNo
Upload your identity document*

Cancelof
Capture the identity page of your Passport*
Capture your Birth Certificate*
Capture your Marriage Certificate*
- A clear photo of the original of either your passport, birth certificate and/or marriage certificate can be uploaded to the system
- All the details on the certificates or passport must be able to be clearly read
- If uploading a birth or marriage certificate, it must be the full A4 size version
- Students who wish to enrol using their married name, must upload either both their birth and marriage certificates, or their passport

Address & Emergency Contact
Your Address*

Street Address

Street Address Line 2

CityRegion

Post CodeCountry
Is your physical address the same as your postal address?

YesNo
Your Postal Address*

Street Address

Street Address Line 2

CityRegion

Post CodeCountry
**hidden disability status**
Emergency Contact
Emergency Contact Name*

First NameLast Name
Emergency Contact Name*
Emergency Contact Last Name*
Phone Number*

Pre-FixPhone Number
Email
example@example.com
Emergency Contact Relation*

Study in Aotearoa
What is your Country of Birth?*
What is your Country of Citizenship?
What is your NZ residency status?
Upload a copy of residency status:

Cancelof
What is your current NZ visa?
**hidden for update field**
**hidden is AU Resident**
**hidden is NZ Resident**
Tick the box if you have New Zealand or Australian Permanent Residency Status:

New Zealand Resident/Permanent ResidentAustralian Permanent Resident
NSN Number
National Student Number
Would you like a Ākonga ID Card?*

NoYes
Ethnicity 1*
Ethnicity 2
Ethnicity 3
If you have selected Māori at least once in above selection, you can affiliate with up to three IWI

If you are unable to find your Iwi, please choose 9999 - Not Stated and type your Iwi in the free text below. However, it is important that you pick an Iwi that is listed as options.
Iwi
Please note Iwi have been listed from North Island to South Island
Iwi
Please note Iwi have been listed from North Island to South Island
Iwi
Please note Iwi have been listed from North Island to South Island
If iwi isn't listed above, please type it here:
I wish to complete my assessments in Te Reo Māori*

YesNo
What is your main activity prior to starting these studies?*
What is the name of the last secondary school you attended?
The list is ordered alphabetically
If last secondary school isn't listed above, please type it here:
What was your last year at secondary school?
What is the highest qualification you hold from a secondary school?
Is this your first year of tertiary studies?*

YesNo
If you are beginning your first year of tertiary education, you are eligible to apply for the Fees Free program. For more information, please refer to the Fees Free Eligibility Criteria
Why do you want to do this programme?*
Since you answered 'No' above, what was your first year?*
Which tertiary institution did you attend?*
Upload Documents - Proof of achievements

Cancelof
In order to enrol on this programme you must have the correct resources capable for online learning:
- Online learning device suitable for online classes (Laptop/Tablet/PC etc.)
- Internal or external speaker, microphone and camera for online classes
- Good stable internet
- Access to relevant software and apps required for this programme such as Zoom, Teams, Webex, and Google as a minimum
Please confirm you have all the requirements from the list above.*

Yes

Ok you made it

Please sign off your application
How did you hear about us?
Acknowledgement and Declaration

I hereby apply for enrolment at TupuOra Institute of Learning (TupuOra) and I understand and agree to the following:
1. As soon as TupuOra receives my Enrolment Form and proof of my identity, I can expect a provisional acceptance letter to study at TupuOra. I can only withdraw from that provisional acceptance by TupuOra receiving a signed completed TupuOra Change of Enrolment Form before 10% of the programme has elapsed.
2. That my enrolment at TupuOra is subject to:
1. TupuOra granting me admission (although in some cases my continued enrolment may be subject to satisfaction of other admission criteria (including the results of Police and health checks being entirely satisfactory to TupuOra)).
2. TupuOra sending me a Confirmation Letter.
3. TupuOra receiving payment of all fees payable by me on or before the end of the Early Withdrawal Period, although TupuOra alone may waive this requirement without notice to me.
4. Committed engagement with course materials and resources, including Pūkenga, Guest Speakers at tutorials or scheduled classes. If lack of attendance is seen to be contributing or causing a lack of achievement, I understand that TupuOra may, by letter to me, end my enrolment if TupuOra is not satisfied that I intend to complete the qualifications/courses I am enrolled in.
5. That if I receive a TupuOra Confirmation Letter I will (subject to my right to withdraw as set out in this Enrolment Form and in the Guide) participate in the qualification/courses I am enrolled in and use my best efforts to successfully complete those qualification/courses.
6. That the information I have given TupuOra is true, and complete in all respects.
7. That I have read and understand the terms of my conditional enrolment at TupuOra and if confirmed the terms of my enrolment as set out in the TupuOra Enrolment Form and the Enrolment Guide.
8. That I have read, I understand, and I agree to the Enrolment Guide, and this Enrolment Form.
Signature*

Clear
How would you like to pay?*

I pay now onlineI pay on siteI need assistance, please contact me
Should be Empty:

Ākonga Enrolment Form

Programme Dates

Ākonga Details

Address & Emergency Contact

Emergency Contact

Study in Aotearoa

Disability Details

Ok you made it