Ngatawa.school.nz

INTERNATIONAL STUDENT APPLICATION
PLEASE ENSURE THIS FORM IS COMPLETED IN FULL
Please attach
DETAILS OF STUDENT
passport photo
Date of Birth: / / Last Name (as on passport): First Language:
Student Email:
Student Mobile Number

PASSPORT/VISA DETAILS
Passport Number:
Passport Expiry Date:
Country of Issue:
PARENTS DETAILS

EMERGENCY CONTACT (friend or other family member we can contact in an emergency)

Name:


AGENTS DETAILS
NEW ZEALAND CONTACT
(Only applicable if you are using an agent)
Nga Tawa Diocesan School International Student Application Relationship to you  Relative ( please state: )
DESIGNATED CARE GIVER (DCG) DETAILS
(if staying in accommodation during exeat or holidays NOT organised by Nga Tawa Diocesan School)
Name of Caregiver:
Address: (in NZ):

Telephone Number:
Relationship to you:  Relative (please state: )  Family Friend
Please note: A DCG must be a relative or close family friend of the family. This accommodation must be approved
by Nga Tawa Diocesan School prior to the student’s arrival.


ACCOMMODATION OPTIONS

International Students at Nga Tawa Diocesan School live in Boarding Houses during term time, but are required to
live in accommodation approved by the International Director during exeats and holidays.
The fol owing are the types of accommodation approved for International Students. Please select your preferred
choice:
 Homestay ( living with a NZ family)  Living with a relative  Designated Care Giver

INSURANCE DETAILS
Al International students wishing to study at Nga Tawa Diocesan School MUST have appropriate Travel and Medical
Nga Tawa Diocesan School International Student Application insurance which covers their complete period of enrolment with Nga Tawa Diocesan School, including travel to and
from New Zealand.
Please read Nga Tawa Diocesan School International Student Policies and Guidelines Document section 14.
We can provide (Vero Studentsafe-International), details of policy can be found a
We highly recommend this policy.
Do you wish to purchase insurance through Nga Tawa Diocesan School.
 Yes  No
If you ticked No above you must attach a copy of the policy wording for your insurance in English (or translated into
English) to this form. Applications without a copy of insurance details will NOT be processed.

FOOD PREFERENCE
Do you have any dietary restrictions,
 Yes. If yes, please explain:
 No.
If you are vegetarian, are you wil ing to eat:



MEDICAL DETAILS
CONFIDENTIAL HEALTH INFORMATION
PRIVACY INFORMATION: The information supplied on this form wil be used to assist medical personnel in the
event of a sudden il ness or injury. It wil not be disclosed to anyone else. Please complete this form fully and
accurately; the health of your daughter may depend upon it. Write N/A if any question is not applicable. Please
Nga Tawa Diocesan School International Student Application attach additional sheets if necessary. Sign and Date the bottom of the form.
Any special medical or learning needs:

Name of Family Doctor:
Phone Number: ( )
Please tick the fol owing boxes if your daughter suffers from any of the fol owing medical conditions: Details of al ergies:
Details of other medical conditions or recent injuries or illness :

Please Note: If you suffer from any of the above conditions, it is advisable to bring your own medications to NZ. As
part of signing this application I give permission for Nga Tawa Diocesan School to contact my doctor if further
information is required or in the case of an emergency.
Please give details of any medications currently being used or carried for use if needed (include dosage details).
Condition medication is for:
Name to medication
Do you have any physical restrictions, impairments or al ergies that wil limit placement options or participation in
everyday family and / or school activities?
 No.
 Yes. If yes, please explain:
Does your daughter wear:  Glasses  Contact Lenses  Hearing Aid
All students should have completed their Childhood immunisation Programme before commencing secondary
school. Has your daughter had the following vaccinations?

M.M.R (Measles, Mumps, Rubella

Signed: ______________________________________ Date: _______________________________

Consent for Health Care:
I give permission for my daughter to receive the fol owing health care whist a student at Nga Tawa Diocesan School:

* To receive treatment in the event of an emergency, this includes cal ing an ambulance.
Nga Tawa Diocesan School International Student Application * To receive Medical/Nursing attention as and when required.
* To receive prescribed medication as recommended by the school doctor.
* To receive, from the school nurse, Paracetamol, Ibuprofen (Nurofen), Sudafed PE ( nasal decongestant) and
Razene ( Cetrizine HCL – antihistamine) as required.
* To contact my doctor if further information is required or in the case of an emergency.
Name of student: __________________________________________
Parent/Guardian: __________________________________________
Signature: ________________________________________________
Date: ____________________________________________________


BACKGROUND INFORMATION
High School Record
List the subjects you have studied at High School:
Subject
Nga Tawa Diocesan School International Student Application Evidence Of Academic Performance
Please supply the fol owing documentary evidence of your academic background. This evidence MUST accompany
your application for it to be processed. The evidence must be in English (or translated into English). It wil not be
returned to you.
1. Certified copies of your Academic Record including grades 2. Copies of recent school reports. 3. A Written Reference. (In English from your last school or other independent person, who can comment on your character, ability, work ethic and suitability for study abroad.) English Language Ability
Has English been the language of your high school study?
Please provide evidence or documentation of your study in English. (School reports, signed statement from a
teacher etc….)
How many years have you
Studied English Language?
What is your current English language ability?
Elementary  Intermediate  Higher Intermediate  Advanced 
Please state any English language competency tests you have achieved (IELTS, TOFEL etc) and give your score or
grade.
Long-Term Educational Goals
Please write a brief explanation of your long term educational goals and plans for the future
Do Your Plans Include Any Of The Following: (please tick)
More than one year at Nga
Special Or Additional Needs
Please provide details of any special or additional needs the applicant may have.
Accuracy Of Information Supplied
IMPORTANT Please ensure that the information supplied is accurate. Information, supplied on this page wil be
used to make decisions about student enrolment. Any information supplied and found subsequently to be incorrect
can result in the cancel ation of a student’s enrolment, or the requirement that a student attend an appropriate
language course before the student can be enrol ed.

PLANNING YOUR TIME AT NGA TAWA DIOCESAN SCHOOL

SUBJECT AVAILABILITY AND CONFIRMED COURSES.

The final course of study for International Students wil be approved by the International Director once the student
has arrived in New Zealand and wil depend upon a number of factors including:
1. Applicants English language ability 2. Applicant’s ability in chosen subjects. 3. Timetable restrictions. 4. Availability of places within a course at time of application. 5. Consideration of the student’s long term goals. Nga Tawa Diocesan School International Student Application
CHOOSING A COURSE OF STUDY

1. List the subjects you would prefer to study at Nga Tawa Diocesan School. 2. You wil need to select at least five subjects in the senior school. 3. List subjects in priority order so that the most important subject to you wil be number one and the least 4. Choose from curriculum overview – see Policies and Guidelines Document
Preferred Subject Choices:

Cultural And Sporting Interests
Please list any cultural or sporting interests you would like to pursue while at Nga Tawa Diocesan School.
See list in Nga Tawa Diocesan School International Student Policies and Guidelines Document.


STUDENT’S LETTER
Students Name ___________________________________________________________
INSTRUCTIONS
This letter is an important part of your application. It is an opportunity for you to introduce FOR STUDENT’S
Make your letter as friendly and personal as possible. Share your interests, hopes and fears, likes and dislikes, etc. Avoid repeating information you have already provided elsewhere in the Application. Be creative and let your personality shine through. This letter must be TYPED OR CLEARLY PRINTED IN BLACK INK. Your letter
Should be confined to the space below and written within the lines that are provided. This letter is to be written by you, IN ENGLISH, with no assistance. Nga Tawa Diocesan School International Student Application


Make sure all details on this form are completed and signatures from the correct people are included.

We confirm that al of the information we have provided in this application is true and correct. We also confirm
that we have not withheld any relevant information in masking this application.
We acknowledge that the provision of false or misleading information or the withholding of relevant information
may invalidate our application.
SIGNATURE OF APPLICANT: (Student) ______________________________
AND
SIGNATURE FOR APPLICANT:
(Parent/Guardian of student
under 18 years)
Father: ______________________________
Mother: ______________________________
Nga Tawa Diocesan School International Student Application Please send completed application’s and Tuition agreement to:
Mrs Lesley Carter
Director International Students
Nga Tawa Diocesan School
Private Bag 1101
MARTON 4741
NEW ZEALAND
Phone: +64 6 327 4806
Fax +64 6 327 5985

Nga Tawa Diocesan School International Student Application

Source: http://www.ngatawa.school.nz/cms_files/general/international_student_application.pdf