Enrolment - Please fill in as much of the form as you can.Red star questions are required - you may respond with 'NA' or 'None' as appropriate.For students starting in 2024 please put the start date as 1 Feb 2024. Enrolment Information Intended Start Date * 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 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 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 Under the field 'Previous School' please enter the student's current school. 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 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 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 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 (was Cape Verde) Central African Republic Chad Chile Colombia Comoros Congo Congo, the Democratic Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czechia (was 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 North Macedonia, The 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 Eswatini (was Swaziland) Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Türkiye (was Turkey) Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Western Sahara Yemen Zambia Zimbabwe Country or Jurisdiction 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 (was Cape Verde) Central African Republic Chad Chile Colombia Comoros Congo Congo, the Democratic Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czechia (was 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 North Macedonia, The 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 Eswatini (was Swaziland) Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Türkiye (was 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 Māori Samoan Hindi Mandarin French German Tongan Afrikaans Spanish Korean Dutch Japanese Fijian Cook Island Māori 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 Gujarati 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 Māori Samoan Cook Islands Māori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghan 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 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 Nepali 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 Romani 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 Māori Samoan Cook Islands Māori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghan 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 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 Nepali 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 Romani 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 Māori Samoan Cook Islands Māori Tongan Niuean Tokelauan Fijian Chinese Filipino Admiralty Islander Afghan 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 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 Nepali 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 Romani 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 Don't Know 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 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 Ngāruahine 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 Hinemanu (Heretaunga) Ngāti Hinemanu (Rangitīkei) Ngāti Hinemanu, region not known Ngāti Hinerangi Ngāti Hineuru Ngāti Huarere Ngāti Kahu Ngāti Kahu ki Whangaroa 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 Rehua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama ki Te Tauihu 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 Tiipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Torehina ki Mata-ure ō Hau 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) Refused To Answer Rēkohu/Wharekauri Region, Imi/Iwi not named Rereahu Response Outside Scope Response Unidentifiable Rongomaiwahine (Te Māhia) Rongowhakaata Tainui Awhiro 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 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 Don't Know 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 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 Ngāruahine 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 Hinemanu (Heretaunga) Ngāti Hinemanu (Rangitīkei) Ngāti Hinemanu, region not known Ngāti Hinerangi Ngāti Hineuru Ngāti Huarere Ngāti Kahu Ngāti Kahu ki Whangaroa 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 Rehua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama ki Te Tauihu 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 Tiipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Torehina ki Mata-ure ō Hau 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) Refused To Answer Rēkohu/Wharekauri Region, Imi/Iwi not named Rereahu Response Outside Scope Response Unidentifiable Rongomaiwahine (Te Māhia) Rongowhakaata Tainui Awhiro 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 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 Don't Know 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 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 Ngāruahine 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 Hinemanu (Heretaunga) Ngāti Hinemanu (Rangitīkei) Ngāti Hinemanu, region not known Ngāti Hinerangi Ngāti Hineuru Ngāti Huarere Ngāti Kahu Ngāti Kahu ki Whangaroa 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 Rehua Ngāti Rongomai (Te Arawa) Ngāti Ruanui Ngāti Ruapani ki Waikaremoana Ngāti Tahu-Ngāti Whaoa (Te Arawa) Ngāti Tama (Taranaki) Ngāti Tama ki Te Tauihu 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 Tiipa Ngāti Toa, region not known Ngāti Toarangatira (Te Waipounamu/South Island) Ngāti Toarangatira (Te Whanganui-a-Tara/Wellington) Ngāti Torehina ki Mata-ure ō Hau 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) Refused To Answer Rēkohu/Wharekauri Region, Imi/Iwi not named Rereahu Response Outside Scope Response Unidentifiable Rongomaiwahine (Te Māhia) Rongowhakaata Tainui Awhiro 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 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* 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 * Email * e.g. dsmith@gmail.com Phone (Mobile) * e.g. 022 123 4567 Phone (Home) e.g. 04 123 4567 Phone (Work) e.g. 04 123 4567 Occupation e.g. Teacher at Wellington High School Relationship Relationship to the student Residence A - Caregiver 2 Name Email e.g. bsmith@gmail.com Phone (Mobile) e.g. 022 123 4567 Phone (Home) e.g. 04 123 4567 Phone (Work) e.g. 04 123 4567 Occupation e.g. Teacher at Wellington High School 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. 04 123 4567 Phone (Work) e.g. 04 123 4567 Phone (Mobile) e.g. 022 123 4567 Occupation e.g. Teacher at Wellington High School 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. 04 123 4567 Phone (Work) e.g. 04 123 4567 Phone (Mobile) e.g. 022 123 4567 Occupation e.g. Teacher at Wellington High School Relationship Relationship to the student Health Details Please tell us about any health issues, including social or emotional issues that we should be aware of.Is there any medication to be left at school? 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 Please identify up to two adults the school could contact in the event of an emergency.This should be someone other than the caregivers above and should not live at the same address as the student. The School will attempt to contact the primary caregivers first, but in the event of an emergency, where the school is unable to reach the primary or secondary caregiver(s), who else might the school contact e.g. Grandparent? Emergency Contact 1 Contact Name * Mobile Phone * e.g. 022 123 4567 Home Phone e.g. 04 123 4567 Occupation e.g. Teacher at Wellington High School Relationship to Student * e.g. Grandmother Emergency Contact 2 Contact Name Home Phone e.g. 04 123 4567 Mobile Phone e.g. 022 123 4567 Occupation Occupation Relationship to Student e.g. Grandfather Special Interests Tell us a bit about yourself! What do you enjoy doing, what are you proud of. Academic Awards Sports Cultural/Arts Hobbies Languages Attachments Please name attachments with student's name and what the document ise.g. JoanSmith_BirthCertificate.pdfFor all applications please attach the followingCopy of Birth Certificate or Passport (Full).Last school reportCompleted Student Reflection SheetProof of address - either a power bill or tenancy agreement (no more than 3 months old). With student address and parent/guardian name as the account holder.Please attach any other documents relevant to your application e.g Evidence of guardianship, Residency visa, Custody orders, Educational needs assessments Attachments + Add Select only Images, PDFs or Word Documents. Maximum file size: 8MB's School Questions IN ZONE ENROLMENTSIf you live in the Wellington High School zone your student is guaranteed a place at Wellington High. Please complete the rest of these questions as they provide valuable background information regarding your enrolment.OUT OF ZONE ENROLMENTSIf you live out of the Wellington High School zone please note the following about out of zone enrolments.Applications for enrolment will be processed in the following order of priority:Priorities for selecting out of zone studentsFirst priority is given to students who have been accepted for enrolment in a special programme run by the school.Second priority will be given to applicants who are siblings of current students.Third priority will be given to applicants who are siblings of former students.Fourth priority will be given to applicants who are children of former students.Fifth priority will be given to applicants who are either children of board employeesSixth priority will be given to all other applicantsIf there are more applicants in the second, third, fourth, fifth or sixth priority groups than there are places available, selection within the priority group will be by a ballot conducted in accordance with instructions issued by the Secretary under clause 3(1) of Schedule 20 of the Education and Training Act 2020. If you live out of zone, under which priority category will you be applying? Please provide details. Are siblings currently enrolled at WHS or have siblings attended WHS in the past? List their names and years of attendance. Student Mobile Phone number Have you applied for enrolment at another school? If so, which school(s) Would you like to discuss financial assistance for course payments or for getting a device (Laptop)? Number of previous schools * Has this student ever been suspended or stood down? (Yes/No) * Please state the caregivers' occupations and work places. * If born overseas, what date did you enter NZ? (Enter NA if born in NZ) * Agreements EOTC agreement * Education Outside The Classroom (EOTC) is the name given to all events/activities that occur outside the classroom, both on and off the school site. This includes sport. This consent will cover off-site events in the local community occurring in school time in lower risk environments. An example of a low risk EOTC trip would be a junior social studies class visiting Te Papa during their timetabled class. Other EOTC trips of greater distance, time or risk will have separate consents sought. I/We agree that the named student is allowed to participate in lower risk EOTC trips. I/We agree that this consent will last the duration of the named student’s enrolment at Wellington High School. I/We have provided the school with up to date medical, supervision and learning information and will make every endeavour to keep this information current. I agree Publications permission The Privacy Act 2020. In compliance with the Privacy Act of 2020 WHS requires consent from caregivers to publish the name, photographs or work of their student in any WHS publications, should the need arise. The school publishes a school newsletter, a school website, press releases, social media updates and The Flannel (student magazine). I agree School agreement * Wellington High School is a BYOD environment. It is expected that all students bring a device to school which can connect to our wireless and enable learning. I/We understand and agree that my/our student will meet Wellington High School’s expectations around behaviour and learning. I/we understand the school’s BYOD policy and agree to pay the fees and donations determined by the Board of Trustees of Wellington High School. I/We agree to work in partnership with Wellington High School to ensure my/our student is successful in their learning. THE INFORMATION REQUESTED IS RETAINED BY THE SCHOOL AND WILL BE USED FOR THE FOLLOWING PURPOSES: • To provide information to the Ministry of Education and other government agencies • To maintain contact with caregivers and whānau • To facilitate the operation and administration of the school • To enable contact and appropriate treatment in the event of emergency or student illness I/We authorise WHS to use the information set out in this enrolment form for the purposes set out above. I agree Information use agreement * You acknowledge that the information requested is retained by Wellington High School and will be used for the following purposes: • To provide information to the Ministry of Education and other government agencies • To maintain contact with caregivers and whānau • To facilitate the operation and administration of the school • To enable contact and appropriate treatment in the event of emergency or student Illness You authorise Wellington High School to use the information set out in this enrolment form for the purposes set out above. I agree Zoning Statement * The address which I have provided to Wellington High School will be the usual place of residence for the student and I intend to live at this address permanently. I confirm that I will advise Wellington High School if for any reason there is a subsequent change of address. ZONING DECLARATION The address given at the time of application for enrolment must be the students usual place of residence when the school is open for instruction. If a pre-enrolled applicant has a change of address, they must advise the school immediately, as this may affect their eligibility for enrolment. The Ministry of Education has advised that parents/guardians should be warned of the possible consequences of deliberately attempting to gain unfair priority in enrolment by knowingly giving a false address or making an in-zone living arrangement which they intend to be only temporary eg: · renting accommodation in zone on a short-term basis; · arranging temporary board in zone with a relative or family friend; · using the in zone address of a relative or friend as an ‘address of convenience’, with no intention to live there on an on-going basis. If the school learns that a student is no longer living at the in zone address given at the time of application for enrolment and has reasonable grounds to believe that a temporary in zone residence has been used for the purpose of unfairly gaining priority in enrolment at the school, then the board may review the enrolment. Unless the parents/guardians can give a satisfactory explanation within 10 days, the board may annul the enrolment. This course of action is provided for under section110A of the Education Act 1989. I agree Simply Dental Free Dental Care: Wellington High School works with Simply Dental to provide a free, complete dental service to all students at WHS. Would you like your child to be enrolled in this service? By checking "I agree" you are agreeing to your details being shared with Simply Dental. I agree Declaration * I hereby declare that all the above information is true and accurate. I agree Remember me on this computer for up to 7 days Submit Enrolment Application Save Draft