ENROLMENT APPLICATION FORM

^{Welcome to Aspire2 Education}

^{NOTE: This is an application, completion of this form does not confirm enrolment.}

^{We will be in contact with you to discuss your application once the form is completed.}^{Please complete as many sections as you can.}

INSTRUCTIONS

Please read the instructions below carefully before you complete this enrolment application form.

This form aims to obtain the information we need to enrol you into a qualification at our organisation. We also need to collect information from you which government agencies require for compliance, statistical and registration reasons. Please fill in the form appropriately by:

Completing all sections of the document.

- Printing your answers clearly and ticking the box that applies for multi-choice questions.

- Completing the acknowledgement at the end of this form (this serves as your signature).

- Uploading to the form any additional documentation that is required for government funding purposes.

A - QUALIFICATION

Please select the name of the qualification you wish to enrol in:

ONLINE NZ Certificate in Computing (Intermediate User) Level 3

Date

2025

What type of study would you like to enroll in?

I wish to study part-time

I wish to study full-time

Sign me up for multiple qualifications

Yes, Sign Me Up for Level 3 and Level 4

Yes, Sign Me Up for Level 4 and 5

Intake Start Date

24th February 2025

Does your device meeting these requirements to complete IT studies

Minimum requirements:
CPU: Intel i3 (10th Gen+) or AMD Ryzen 3 (3000 series+) equivalent acceptable
RAM: 8GB or more HDD: 256GB or more
Windows 10 or higher (Aspire2 can provide a product key for Win 11 Edu)
Reliable Broadband / Internet access requirements: 50mb download, 10mb upload.
You must be able to install applications and configure software and operating system settings on your device (i.e you must have a local administrator account).

Please select YES or NO

Have you studied at Aspire2 before?

How did you hear about Aspire2 Education?

Facebook

What are your career intentions and goals?
How will pursuing this program of study assist you in achieving this?

It could be things like: " I want a new career and this will give me the qualification to get a job in the industry".

What are your immediate career plans after you have completed this program of study?

It could be things like: "I want to get a job as a IT support person". I want to complete higher level studies". I want to become a IT Technician".

B - PERSONAL DETAILS

Preferred Title

First Name/s

Family Name

Preferred Name

Previous name(s) known by

Date of Birth

day month year

Gender

select from drop down box

Male

Mobile Number

Home Address

Postal Address

If different from above

Next of Kin Details (your emergency contact)

Next of Kin Full Name

Their Relationship to you

Next of Kin Email

Next of Kin Phone

Next of Kin Address

C - DEMOGRAPHICS

ETHNICITY

What ethnic group(s) do you belong to?

You may tick up to three boxes, which apply to you.

NZ European/Pakeha

New Zealand Māori

Samoan

Cook Island Māori

Tongan

Niue

Tokelauan

Fijian

Other Pacific Peoples

British/Irish

Dutch

Greek

Polish

South Slav

Italian

German

Australian

Other European

Filipino

Cambodian

Vietnamese

Other Southeast Asian

Chinese

Indian

Sri Lankan

Japanese

Korean

Other Asian

Middle Eastern

Latin American

African

Other

Not Stated

If "Other Pacific Peoples", "Other European", "Other Southeast Asian", "Other Asian" or "Other", please specify what specific ethnicity below.

IWI (Skip this question if it does not apply)

If you identified as New Zealand Māori in the previous question what is the name of your Iwi?

You may enter more than one Iwi. If you do not know your Iwi, please enter 'Don't Know'.

PRIOR ACTIVITY

What was your MAIN activity or occupation in New Zealand on 1 October last year?

You may select only one.

Secondary school student

DISABILITY / MEDICAL CONDITIONS

Do you live with the effects of significant injury, long term illness, or disability?

The information you supply is confidential.

If yes, how would you describe your impairment, disability or long term
medical condition:

CITIZENSHIP AND RESIDENCY

Select the box which best describes your citizenship:

New Zealand Citizen

Australian Citizen

Other

If "Other",

Please specify your Country of Citizenship (For students with dual citizenship, specify the country of citizenship of the passport used to enter New Zealand.):

Select the box if you have New Zealand or Australian Permanent Resident Status:

New Zealand Resident Visa Holder

Australian Permanent Resident

During your time studying in this qualification will you be resident in New Zealand or overseas?

In New Zealand

Overseas

Please also specify your fee/assistance status

*Always use Domestic Student if you are a New Zealand Citizen, New Zealand Resident Visa Holder and Australian Citizen or Australian Permanent Resident residing in New Zealand while studying this qualification.

Domestic Student

D - CRIMINAL CONVICTIONS

Have you ever been convicted of a criminal offence?

If you answered yes, our recruitment team will discuss this with you. The information you supply is confidential.

E - ACADEMIC INFORMATION

What was the name of the last secondary school you attended?

State “overseas”, if applicable.

What was your last year at secondary school?

for example 2016

What is the highest level of achievement you hold from a secondary school?

Your NZQA Record of Achievement shows you this information. Select only one answer.

I don't know

Please specify if "Overseas qualification" or "Other"

TERTIARY STUDY

Will this be the first time you have ever enrolled in a University, Institute of Technology Polytechnic, Institute of Technology College of Education, Industry Training Organisation, Government Training Establishment, Private Training Establishment or Wānanga either in New Zealand or overseas since leaving school?

If you answer Yes, skip the remainder of these questions and GO TO SECTION F

Do not include enrolments in community classes

Yes

If you answered “No”, please enter the name of the organisation you studied at and the year of your study.

What year do you expect to complete the academic requirements of your course/s in order to graduate with your qualification?

PRIOR ACHIEVEMENT

Please list all of the tertiary qualifications you hold, the month and year you completed each and the tertiary education organisation that it was completed at.

Alternatively attach your academic transcript from the tertiary education organisation and/or a copy of your NZQA record of achievement.

F - DOCUMENTATION

If you know your National Student Number please write it here

To qualify as a domestic student, and so be entitled to the Government tuition subsidy, you must be:
·       a citizen of New Zealand (including students from the Cook Islands, Tokelau, or Niue who have New Zealand citizenship) or
·       a resident of New Zealand or
·       a citizen or permanent resident of Australia residing in New Zealand or
·       a citizen of New Zealand (including students from the Cook Islands, Tokelau, or Niue who have New Zealand citizenship).

You must provide evidence of citizenship or permanent residency. To do so you must produce one of the following:

Please select the item that you are providing

Birth certificate with place of birth stated as New Zealand, Cook Islands, Tokelau, or Niue.

New Zealand passport.

A Certificate of identity

A statement of Whakapapa, including date of birth, countersigned by a kaumatua

A New Zealand certificate of citizenship

Overseas passport with residency stamp

You can bring the original documentation to the enrolment desk, alternatively please provide a certified copy. This means a photocopy, photograph or scanned copy of your original document, signed as being a true and accurate copy by a Justice of the Peace (JP), Barrister or Solicitor, Notary Public, Court Register or Deputy Registrar, Member of Parliament, Land Transport New Zealand, Public trust, or local authority employee designated for this purpose. When a learner is in a remote community and unable to access a person listed in the Oaths and Declarations Act, a member of the New Zealand Police, school principal, minister of religion, or general practitioner is acceptable.

Please note that your name, date of birth and residency as entered on this enrolment form will be included in the National Student Index, and will be used in an Authorised Information Matching programmes with official governement information such as the New Zealand Birth Register, to verify the information provided. On occasion, more than one National Student Number is created for an individual. The Ministry regularly monitors the quality of the National Student Index and, when duplicates or errors are discovered, it works with providers and government agencies to merge duplicates and correct errors. This may require the documentation you provide at enrolment being shared between agencies authorised to access the National Student Index to make these corrections.For further information please see:
http://nsi.education.govt.nz/home.aspx

If you are unable to supply these right now, skip this step and bring them along with you when you visit us on campus.

File upload - upload documents here if applicable.

By uploading documents, you certify that every document submitted as part of the enrolment process at Aspire2 Education is a true copy of the original document. and you will produce the original if requested by Aspire2 Education at a future date.

Delete all uploads

Choose files or drag here

File upload - upload documents here if applicable.

Delete all uploads

Choose files or drag here

G - MARKETING

Aspire2 Education regularly takes photos of students to be used for compliance as well as marketing purposes.

Do you give Aspire2 Education and Aspire2 Group consent to the use of my photograph/s and or video recordings.

Yes

H - PRIVACY INFORMATION

Before you submit your application, please read Aspire2 Education's privacy policy here.

Do you give NZQA permission to release your qualifications, awards and results data to Aspire2 Education in order to assess your application against the Programme entry requirements?”

Yes

I - DECLARATION

In signing this enrolment form you authorise the disclosure of your personal information on the understanding that Aspire2 Education will comply with the legal requirements in relation to the use and disclosure of personal information, as set out in the Privacy Act 2020, the Education and Training Act 2020 and other relevant legislation.

You are entitled to see any information that Aspire2 Education holds about you and request to correct any errors in that information. To do so, contact the Enrolments Officer.

Fees

In confirming your agreement below on this enrolment form, you must pay all fees as they become due and to meet any late fees and collection charges associated with debt recovery. Aspire2 Education's policy on withdrawal and refund fees may be obtained from the Enrolments Officer or found on the Aspire2 Education website.

The recruitment officer will speak with you about free fees and scholarship availability.

Rules

In submitting this enrolment form you undertake to comply with the published rules and policies of Aspire2 Education with regard to attendance, academic integrity and progress, conduct and use of information systems.

We are committed to try our very best to help you succeed. Should you be accepted into the course, we ask that you in turn, make a similar commitment, through full attendance and trying your very best. We believe that each person has skills and talents and together we can help develop those skills.

We expect everyone to be treated with respect: students, staff and visitors.

I declare that to the best of my knowledge all the information supplied on, and with, this enrolment form is true and complete, I agree to abide by the conditions described above, and I consent to the disclosure of personal information as described above.

I agree

Date

2025

Verification

Aspire2 Education

Auckland Head Office & Campus: 25 Federal Street, Auckland 1010. E: info@aspire2education.ac.nz T: 0800 277 338