Please complete this 5 minute Online Application Form

ONLINE STUDENT APPLICATION

Welcome to the Online Student Application page.

International Student Registration Form 2016

If you are human, leave this field blank.

Have you studied at Techtorium NZIIT before? *

Yes

If your were a student at Techtorium NZIIT before, please write your student ID here: *

PERSONAL DETAILS (as in Passport)

Last Name/Family Name *

First Name/Given Name(s) *

Title *

Mr.

Mrs.

Ms.

OtherOther

Gender *

Male

Female

OtherOther

Date of Birth *

Age *

Please indicate your age.

Parent/ Guardian full Name (for under 18's only) *

Please enter the Full Name of the parent/Legal Guardian.

PASSPORT INFORMATION

Passport Number *

Pleaser enter the number of your valid passport.

Citizenship *

Please enter your citizenship.

Please specify if "Other Pacific Peoples", "Other European", "Other Southeast Asian", "Latin American" or "Other",

Please upload a copy of your valid passport *

CONTACT DETAILS

Address in New Zealand *

New Zealand Landline/Phone number *

Address in Home Country *

Home Country Landline/Phone Number *

Please enter your Landline/ Phone Number.

Email Address *

Please enter your email address.

EMERGENCY CONTACT

First Name and Last/Family Name *

Please enter the Full Name of your emergency contact.

Relationship *

Please enter the type of relationship linking you and your emergency contact.

Address *

Phone Number *

Please enter the Landline/Phone Number of your emergency contact.

Email Address

QUALIFICATION

Name of the first Programme of study you wish to enroll in: *

Level *

Please enter the Level of study of the first programme of study you wish to enroll in.

Name the second Programme of study you wish to enroll in:

Level

Please enter the Level of study of the second programme of study you wish to enroll in.

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ACADEMIC INFORMATION

Secondary School/High School/Foundation Tertiary Study (University, Technical College, Other)

National Student Number *

Please enter your National student Number.

Name of the Secondary/High School attented: *

Country *

Qualification gained *

Last year at Secondary/High School *

Tertiary Study (University, Technical College, Other)

Country

First year at the Institute

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CAREER BACKGROUND

Work Experience *

Yes

Do you have any work experience relevant to the program you are applying for?

Position

Please enter for each of the positions held: The title of your position/the name of you employer/the period of employment (+ number of months in the position). Please attach relevant references and/or job proof, eg: contract, job offer letters etc, for each position listed.

References documents *

Please upload the copy of your job proof.

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ENGLISH PROFICIENCY

First Language *

IELTS

Please enter the score and the date when obtained.

Other (Please specify)

Please enter the name/score and date (dd/mm/yyyy) when obtained the other test.

I have booked an IELTS or TOEFL test *

Yes

Provide the date *

Please enter the date of your IELTS or TOEFL TEST

If you DIDN'T PASS any official English language test or planned to pass any, please select one of the following options:

I am applying without en English language test and would like my previous education to be considered as evidence of my english language ability.

I will undertake an English language test at Techtorium NZIIT.

Please upload a copy of your Official English language test

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SERVICES

If you have a disability and/or medical condition (including allergies) that may require Techtorium to provide assistance, please outline your needs below. (Note: This information will remain confidential and should not affect your application) *

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MEDICAL INSURANCE

(Travel/Medical insurance is compulsory for international students in New Zealand)

Please indicate if you want Techtorium NZIIT to arrange your medical insurance: *

I would like Techtorium to arrange my medical insurance

I will arrange my own medical insurance

Medical Insurance document *

If you arrange your own medical insurance, please upload a copy of your medical insurance contract.

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ACCOMMODATION

Do you want Techtorium NZIIT to arrange your accommodation? *

Yes

If "Yes", you must submit your Homestay booking form at least two weeks before your arrival date and pay for the accommodation fees with your tuition fees.

If "No" and you are under 18, please provide details of your nominated Designated Caregiver *

Indicate Full Name of the Designated Caregiver (First and Last Name) / Indicate the relationship to the student / Indicate the address / Indicate Phone Number

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AIRPORT PICK- UP

Do you want Techtorium NZIIT to pick you up from the airport? *

Yes

If "Yes", you must let Techtorium NZIIT know your flight details at least two weeks before your arrival date and pay for the airport pickup fees with your tuition fees.

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SUBMITTING YOUR APPLICATION

What is your current City and Country? *

Are your applying through a Techtorium NZIIT registered Agent? *

Yes

If "Yes", please provide the following: *

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WHERE DID YOU HEAR ABOUT TECHTORIUM NZIIT?

How did you hear about Techtorium *

If you tick "Advertisement"

Please specify where.

If you tick "Internet"

Please name the website.

If you tick "Other"

Please specify "Other".

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STUDENT CHECKLIST

Please check that you have completed the following: *

Answered all sections of the application form

A copy of your current Passport

Read the international Student Handbook

Verified copy of your original documents and academic transcripts (Translated to English)

Verified copy of your official English Language Test (eg IELTS, TOEFL)

Relevant References and/ or job proofs (ex: Contract, Job offer letters etc.)

End Section

DECLARATION BY APPLICANT

1 *

I have read and understood the "Refund of Fees" policy for International Students.

2. *

I agree to abide by the Terms and Conditions of Techtorium NZIIT.

3. *

I acknowledge that if I am accepted for a course of study, I am liable for the full fees (including any late fee or debt collection fee) payable for my course of study until such time as I have paid. If Techtorium NZIIT accepts payment of my tuition fees by "semester" (subject to immigration rules), future semester fees will still be payable even if I subsequently withdraw.

4. *

I acknowledge and understand that if Techtorium NZIIT arranges my travel/medical insurance, the insurance agreeement will be held between me and Southern Cross. I undertake to read the policy document and advise Southern Cross of any inaccuracies.

5. *

I acknowledge that attendance of any class without having paid the full tuition fees is in breach of Techtorium NZIIT policy and am aware that Techtorium NZIIT will take necessary steps to recover outstanding fees.

6. *

I have read the outline of the Privacy Act provided in the International Student Handbook and understand how it will be applied at Techtorium NZIIT. I authorize Techtorium NZIIT to collect, use and disclose personal information about me in accordance with that outline and the Privacy Act 1993.

7. *

I authorize any agency holding the source of any information I have provided on this form to release that information to Techtorium NZIIT upon request.

8. *

I agree that before I use the Internet at Techtorium NZIIT, I will read the "Techtorium Acceptable Use of Internet Policy and Guidelines" and I agree to abide by them. I accept that failure on my part to abide by this policy may lead to the termination of my access to the Internet via Techtorium NZIIT. I also agree that I may be required to pay for any interest related costs incurred by my actions which are contrary to the policy or guidelines (as well as reasonable costs of recovering these costs).

9. *

If enrolment carries over one academic year, I will be bound by the same terms and conditions as stated and agreed here in.

10. *

I declare that the information I have supplied on this form and attached documentation to be true and complete. I acknowledge that Techtorium may suspend my enrolment if false information has been supplied or requested information is not supplied by due date.

11. *

I promise that I will make myself familiar with the requirements with regards to student behavior as set out in the Student Handbook. I will obey the statutes, rules and regulations of Techtorium NZIIT. I acknowledge that if I breach the statutes, rules or regulations of Techtorium NZIIT, I will be subject to the disciplinary proceduress and penalties imposed.

Agreement *

Yes, I have read, understood and accept the declaration by the Applicant.

End Section

Please complete this 5 minute Online Application Form

ONLINE STUDENT APPLICATION

Welcome to the Online Student Application page.

PERSONAL DETAILS (as in Passport)

PASSPORT INFORMATION

CONTACT DETAILS

EMERGENCY CONTACT

QUALIFICATION

ACADEMIC INFORMATION

CAREER BACKGROUND

ENGLISH PROFICIENCY

SERVICES

MEDICAL INSURANCE

ACCOMMODATION

AIRPORT PICK- UP

SUBMITTING YOUR APPLICATION

WHERE DID YOU HEAR ABOUT TECHTORIUM NZIIT?

STUDENT CHECKLIST

DECLARATION BY APPLICANT

Contact Infos

Useful Links

Techtorium NZIIT