Enrolment Notification
Saturday, June 23, 2018


Read the Terms and Conditions of Enrolment carefully before signing this declaration.

I have received and accept the Terms and Conditions of Enrolment and agree to pay all fees (if applicable).

I understand that if material information is withheld or information provided by me is subsequently found to be false or inaccurate, my enrolment may be cancelled.

I agree to receive electronic messages from Te Wānanga o Aotearoa, including marketing and relevant third party goods and/or services.

I understand that completing this enrolment form does not guarantee a place on the programme until I receive an acceptance letter from Te Wānanga o Aotearoa confirming that I have met the eligibility criteria.


Office use only Application Acceptance Section

Kaiako Interviewer Section

Programme Name:
Preferred class time:
Kaiako name:


Evidence attached (Academic Records/Record of Learning)
Yes / No

Checklist attached where compulsory

Delivery Site Administration Section

Internal programme code:
Site Administrator’s name:



For Level 1 & 2

Complete this section only for Level 1 & 2 (excluding TARM and ESOL) programmes:

 Tauira aware of Level 1 & 2 eligibility

 Qualifications on NZQF checked

 Other programme options discussed



Take 2 Enrolment Section

MOE code:
Student Registry Officer’s name:

Start Date:
Finish Date:
Student ID number:

Student Registry - Te Puna Mātauranga Use Only Enrolment Verified and Checked in Take2

Tauira Coordinator’s signature