application form - New Zealand Tertiary College

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NEW ZEALAND CERTIFICATE IN NANNY EDUCATION
APPLICATION TO ENROL FORM
New Zealand College of
Early Childhood Education
Te Whare Matauranga Kohungahunga o Aotearoa
Hand in hand with your success
Units 12 & 13 114 Sawyers Arms Road
Christchurch 8052, New Zealand
PO Box 5561, Papanui, Christchurch 8542
Ph: (03) 365 3153 Fax: (03) 366 0391
0800 childhood (244534)
www.teacher.co.nz
Programme and Enrolment Information
Programme approval and the registration and accreditation of the College
The New Zealand Certificate in Nanny Education is at Level 5 on the New Zealand Qualifications Framework.
The certificate is approved by the New Zealand Qualifications Authority. The New Zealand College of Early
Childhood Education is registered with the New Zealand Qualifications Authority as a Private Training
Establishment and it is accredited to deliver the certificate.
Entry Criteria
Enrolment is subject to availability of student places. Enrolments are accepted on a first come, first served
basis to those who have met the following entry requirements and completed the selection process to the
satisfaction of the College.
Applicants under 20 years of age: NCEA Level 2 or an approved Level 3 or higher early childhood qualification,
or an international equivalent.
Applicants 20 years of age and over: No formal qualifications.
Criteria for all applicants:
•
A good standard of English is required for all applicants. Applicants may be required to complete a
literacy test to the satisfaction of the College.
•
Applicants require three written references from appropriate and relevant referees (such as a Principal,
senior school teacher or employer, not immediate family or relatives). These must be on the College
official referee forms and satisfactory to the College.
•
All applicants are required to be mentally and physically fit to carry out a nannying role and of good
character. The College is guided by the New Zealand Teachers council ‘fit to be a teacher’ criteria to
define ‘of good character.’
•
We require all applicants to complete a police vetting check to the satisfaction of the College. If
a person has committed a criminal offence, his or her character as fit to nanny/teach is brought into
question. The fact that a person has committed an offence does not necessarily mean that he/she is
not of good character. The College will consider on a case-by-case basis how much the offence(s)
impacts upon the person’s character and fitness to nanny/teach.
•
All applicants are required to declare if English is their first or primary language. Applicants who claim to
have English as their first or primary language but whose life history indicates otherwise will be required
to complete an evidenced statutory declaration.
•
Have access to a computer and the internet and possess sufficient IT skills to undertake the on-line
aspects of the programme. This includes the ability to produce Word and PowerPoint documents, send
emails, and use an internet browser such as Internet Explorer.
• Applicants for whom English is not their first or primary language will be required to provide proof that
their English is an average IELTS band score 5.5 or higher in the academic version of the IELTS
assessment.
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APPLICATION TO ENROL
• IELTS Exemption:
Applicants who have studied in New Zealand for a minimum of two years at secondary school, and
who have 10 Level 2 NCEA University Entrance literacy credits (5 credits in reading and 5 credits in
writing).
•
If the College holds concerns about English language competency post enrolment (i.e. the College
considers English is an alternate language of the student) it reserves the right to require the student to
provide evidence, at their expense, that they meet the IELTS test requirements. Students not meeting
the requirements must do so prior to programme completion.
Selection Process
When assessing an applicant’s suitability to be accepted for enrolment the College considers:
•
•
•
•
•
•
•
Academic entry requirements
Information provided by the applicant on the enrolment form
Information provided by the referees
The Police Vetting information
The literacy assessment if required
The English language assessment if required
The interview responses for those students who proceed to the interview stage
International Students
The New Zealand College of Early Childhood Education has agreed to observe and be bound by the Code
of Practice for the Pastoral Care of International Students published by the Ministry of Education. Copies of
the code are available on request from the College or from the New Zealand Ministry of Education website
at http://www.minedu.govt.nz.
International applicants must be 18 years or over and are required to have Medical Insurance that is
approved by the College and a valid visa for the duration of the programme. Approved insurance policies
can be found on the International page of the College’s website, www.teacher.co.nz.
College Fees
For current programme fees, please visit www.teacher.co.nz or contact us on 0800 CHILDHOOD.
Safeguarding Tuition Fees
All tuition fees are placed in a trust account operated by the Public Trust. Should the College close
unexpectedly due to financial reasons before the programme is completed, the Public Trust account
ensures a pro-rata refund of fees paid to the student based on the programme termination date.
Withdrawal and Refund of Tuition Fee
Domestic Students: If a student withdraws within the ‘first eight working days of the programme’
commencing, all tuition fees less 10% or $500, whichever is the lesser, will be refunded.
International Students: If a student withdraws within the ‘first 10 working days of the programme’
commencing, all tuition fees less 10% of the amount paid will be refunded.
No refunds are given outside of this timeframe except in extreme extenuating circumstances at the
discretion of the College CEO. Applications can be made in writing to the CEO for a refund in this case.
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APPLICATION TO ENROL
Enrolment Details
The purpose of this form is to gain the information we need to enrol you into a qualification at our College.
We also acquire information from you which is required by the Ministry of Education, Tertiary Education
Commission and other Government agencies for statistical, registration and monitoring reasons.
Please:
• Complete all sections of the form
• Print your answers clearly in pen, and tick the appropriate box
• Sign the form
• Attach all required additional documentation
A
Qualification - New Zealand Certificate in Nanny Education
When do you intend to study?
Commencing in year 20
Have you studied at New Zealand
College of Early Childhood
Education before?
B
Yes
No
Year
Personal Details
Legal Family Name:
Legal Given Name(s):
Previous Name(s):
If you have previously enrolled at
this organisation under another
name, what was that name?
Date of Birth:
Preferred Title:
Day
Ms
/
Month
/
Year
Miss
Gender:
Mrs
Male
Female
Mr
Dr
If you have a national Student Index
Number (also known as the “NSN” or
NZQA Record of Learning number),
please write it here:
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APPLICATION TO ENROL
Citizenship and
Residency:
You may need to supply
evidence of residency or
citizenship
Tick the box which best describes your citizenship:
New Zealand Citizen NZL
Australian Citizen AUS
Other
If “Other”, please specify your country of citizenship (for students with dual citizenship,
specify the country of citizenship on the passport used to enter New Zealand):
Country of Citizenship: _____________________________________
Tick the box if you have New Zealand Residency Status:
New Zealand 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.
Domestic student 00
NZAID student 01
International fee-paying student (including people 03
on current work visa)
Student on a recognised exchange scheme 04
Foreign research based post-graduate 06
Visiting military personnel, diplomatic staff or family, 08
persons associated with Antarctic Programme
International on-shore PhD student 09
International student doing ITO off-job training 12
Refugee or protected person whose application for 13
residence is being processed OR a person who has
made a claim to be recognised as a refugee or
protected person and holds a valid temporary visa
Note: Select 00 for NZL, NZ Permanent Resident and AUS students unless you are
a Permanent Resident or AUS student not residing in NZ whilst undertaking this
qualification.
Language:
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English is my first or primary language Yes
No
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APPLICATION TO ENROL
Ethnicity:
What ethnic group(s)
do you belong to?
You may tick up to
three boxes which
apply to you.
NZ European/Pakeha 111 Filipino New Zealand Māori 211 Cambodian Samoan 311 Vietnamese Cook Island Māori 321 Other Southeast Asian Tongan 331 Chinese Niue 341 Indian Tokelauen 351 Sri Lankan Fijian 361 Japanese Other Pacific Peoples 371 Korean British/Irish 121 Other Asian Dutch 122 Middle Eastern Greek 123 Latin American Polish 124 African South Slav 125 Other Italian 126 Not Stated German 127
Australian 128
Other European 129
411
412
413
414
421
431
441
442
443
444
511
521
531
611
999
Please specify if “Other Pacific Peoples”, “Other European”, “Other Southeast Asian”,
“Other Asian” or “Other”.
Iwi:
If you identified as
New Zealand Māori
in the question
above, what is the
name of your Iwi?
Iwi:
Rohe (Iwi home area):
Iwi:
Rohe (Iwi home area):
Iwi:
Rohe (Iwi home area):
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 last October? You may tick
only one box.
Secondary school student 01
Non-employed or beneficiary (excluding retired) 02
Wage or salary worker 03
Self-employed 04
University student 05
Polytechnic student 06
House-person or retired 08
Overseas (irrespective of occupation) 09
Private Training Establishment student 11
Wānanga student
12
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APPLICATION TO ENROL
Medical History:
Please indicate if you
have had any of the
following medical
conditions:
Impairment*:
Please indicate
if you have any
of the following
impairments:
Asthma Diabetes
Epilepsy Psychiatric Disorders
Other (please state)
Visual Learning
HearingOther
If you have ticked any of the above, please specify:
Will you require any additional academic assistance (aside from the normal tutor
assistance) in the classroom? Yes No
If “Yes” please describe the additional support you require and how you anticipate this will
be provided?*
Copies of recent reports provided (if applicable)
* In considering this criterion, the College will assess the applicant’s requirements in conjunction with the College’s
Higher Needs policy. Support to be provided by the College will be documented. Any additional external support
required is to be documented at the time this application is being considered and will include how this will be funded.
Support provided by the College will be at the College’s discretion.
Disability:
Do you live with the effects of a significant injury, long term illness, or disability that
would render you mentally or physically unfit to carry out a nanny/teaching role safely
and satisfactorily? The information you supply is confidential. Yes
No
If “Yes”, how would you describe your impairment, disability, or long term medical
condition?
Please note that students must inform the College if the answer to the question
above changes from “No” to “Yes” during the period of their programme of study. In
circumstances where a student is not meeting programme requirements and the College
holds serious concerns about the student’s health and well-being the College can require
a student to undergo a medical examination. The College reserves the right to dis-enrol
a student if it deems a student’s mental or physical condition affects their ability to
satisfactorily and safely study and work as a nanny/teacher.
*In considering this criterion, the College will distinguish between any mental or physical condition that may affect
an applicant’s ability to carry out the nannying/teaching role satisfactorily, and any disability that an applicant has
that does not impact on that ability. The College is aware of its obligation not to contravene the Human Rights Act
1993 by unlawfully discriminating again any person.
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APPLICATION TO ENROL
Criminal
Convictions:*
Have you received any criminal convictions:
If yes please provide details:
Yes
No
Please note that students must inform the College if the answer to the question above
changes from “No” to “Yes” during the period of their programme of study.
NOTE: Applications are also required to undergo a police vetting check.
*If a person has committed a criminal offence, his or her character and fitness to nanny/teach is brought into
question. The fact that a person has committed an offence does not necessarily mean that he/she is not of good
character. The College must weigh in each case how much the offence(s) impacts upon the person’s character and
fitness to nanny/teach. The College considers the requirements of the New Zealand Teachers Council Registration as
a guideline.
C
Academic Information
Secondary School:
What was the name of the last secondary school you attended? Please state “overseas” if
you did not study in New Zealand.
School:
What was your last year at secondary school?
What is the highest level of achievement you hold from a secondary school? Your highest
achievement may be a “traditional award such as School Certificate, or you may have
achieved a number of credits or a National Certificate at a certain level on the National
Qualifications Framework”. Your NZQA Record of Learning shows how many credits you
have. Tick only one.
No formal secondary qualifications 00
14 or more credits at any level 11
NCEA Level 1 or School Certificate 12
NCEA Level 2 or 6th Form Certificate 13
University Entrance 14
NCEA Level 3 or Bursary or Scholarship 15
Overseas qualification (includes International Baccalaureate & Cambridge Exams) 09
Other* 98
Not known 99
*Please specify if “Overseas qualification” or “Other”.
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APPLICATION TO ENROL
Tertiary Study:
Will this be the first year you have ever enrolled in a University, Polytechnic, Institute of
Technology, College of Education, Private Training Establishment, or Wānanga either
in New Zealand or overseas since leaving school? Do not include enrolments in STAR,
community or hobby classes.
Yes No
If you answered “No”, please enter the name of the institution you studied at and the year
of your first enrolment.
Name:
Year:
What year do you expect to complete the academic requirements necessary to graduate
from your qualification?
Year:
D
Referee Report
Three satisfactory written character references from a range of appropriate and relevant referees (such as a Principal,
senior school teacher or employer, not immediate family or relatives). These must be on the College official referee
form and satisfactory to the College.
Referee report forms have been completed and attached
And/or
Referee report have been passed to the following three people who will complete confidential referee reports
and forward to the College.
Referee’s Name: Email: Day time Contact: Relationship with Referee: Referee’s Name: Email: Day time Contact: Relationship with Referee: Referee’s Name: Email: Day time Contact: Relationship with Referee: 2014:1
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APPLICATION TO ENROL
E
IRD Number collection for Student loan interest write-off
Do you currently have or will you have a Student Loan this year?
No – please go to the next section
Yes – please insert your IRD number (see notes for more information on student loan interest write-off )
On 1 April 2006, legislation was introduced to make student loans interest free for borrowers living in New Zealand.
Completing your IRD number is voluntary. This is requested so the Ministry of Education can share information with
IRD regarding student enrolments. If you choose to provide your IRD number on the enrolment form this will be
included with your enrolment details and will be reported to the Ministry of Education.
For more information on interest free student loans, visit www.ird.govt.nz/studentloans.
F
Domestic/International Student Documentation
To qualify as a domestic student, and 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
permanent resident of New Zealand or a citizen or permanent resident of Australia residing in New Zealand. You
must provide evidence of citizenship or permanent residency producing one of the following:
•
•
•
•
•
Birth certificate with place of birth stated as New Zealand, Cook Islands, Tokelau, or Niue
New Zealand passport
A statement of Whakapapa, including date of birth, countersigned by a Kaumatua
Certificate of citizenship or letter of confirmation
Overseas passport with residency stamp
You can bring the original documentation to a Student Services Advisor at the College, or provide a certified copy.
A certified copy is a photocopy of your original document, signed as being a true and accurate copy by a Justice of
the Peace (JP), Solicitor, Minister of the Church, General Practictioner or School Principal for example.
International Students must bring their passport with them when they enrol.
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 programme with the New Zealand
Birth Register. For further details please see the Ministry of Education website http://www.nsi.education.govt.nz
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APPLICATION TO ENROL
G
Contact Details
Home address and
contact details:
Address: City:
Post Code: Telephone:Mobile:
Email:
Postal address:
(If different than Home
address above)
Address: City:
Post Code: Address while
studying:
(If different than Home
address above)
Address: City:
Post Code: Telephone:
Next of Kin name:
Address: City:
Post Code: Telephone:Mobile:
Email:
SMS:
I authorize the College to contact me via SMS text
Yes
No
CHECKLIST
I have enclosed CERTIFIED copies of the following documents which apply to me:
Certified Birth Certificate/Passport (also Marriage Certificate if your surname has changed)
Certified copies of school and tertiary qualifications (if under 20)
I have also enclosed the following:
Character references on the College referee forms (these may be posted separately)
Police Vetting Form (signed and dated with a certified copy of drivers licence or passport).
I have checked:
The enrolment form is completed fully, signed and dated
Your application cannot be processed until all necessary documentation are received. Please post all the above to
PO Box 5561, Papanui, Christchurch 8542 or deliver in person. The College will NOT accept faxed, scanned or emailed
applications.
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APPLICATION TO ENROL
Student Declaration
Privacy – All information collected from students by the New Zealand College of Early Childhood Education (NZCECE) will
be treated under the terms of the Privacy Act 1993. The NZCECE collects and stores information from the enrolment form
to comply with the requirements of the Ministry of Education (funding and student statistical returns), Industry Training
Organisations (funding and academic outcomes), Department of Work and Income (confirmation of enrolment and academic
outcomes), and Inland Revenue Department (student loan interest rebate). The information is also used to select students for
qualifications, to manage internal administrative processes, and for internal reporting. Information about students may be
supplied to, and sought from, other educational institutions for the purpose of verifying academic records. In addition, when
required by statute, the NZCECE releases information to Government agencies such as the New Zealand Police, Department
of Justice, Department of Work and Income, and the Accident Compensation Corporation (ACC).
I understand that personal information is being and will be collected by the NZCECE, Units 12 & 13, 114 Sawyers Arms Road,
Christchurch. I understand that the information will be collected and held for the purposes of assisting NZCECE, in providing
me with education. I understand that if all or any part of the information requested by NZCECE should not be provided,
NZCECE is entitled at its discretion to review my enrolment status. I understand that I have rights of access to, and correction
of, the information about me held by NZCECE. I have an obligation to advise NZCECE, immediately if any of the information
I have provided changes including on-going or developing health issues, name changes and criminal convictions during
the period of enrolment. I authorise NZCECE to release information collected and held by NZCECE to a third party if NZCECE
judges it is in my interests to do so. I agree to have a Police Vetting check.
Fees – In signing this form I undertake to pay all fees as they become due, and to meet any late fees and collection charges
associated with debt recovery. NZCECE’s policy on withdrawal and refund of fees is on the application to enrol form and I have
read and understood this.
Regulations – In signing this form I undertake to comply with the published regulations and policies of the NZCECE, including,
but not limited to, assessment, attendance, academic progress, standard of dress, health and safety, ICT use, and behaviour. I
will at all times follow the instructions of NZCECE staff and/or the person responsible for the venue and/or activities and will,
whether requested to or not, make full disclosure of any medical condition or other information which may be relevant to
participation in the programme. I agree as a condition of my enrolment to read information on my NZCECE student email at
least twice a week as detailed in the Information Technology Policy and Procedures.
Liability – I will not under any circumstances seek to hold NZCECE responsible, accountable and/or liable for any loss, injury or
damage (including in each case direct, indirect and/or consequential loss, injury or damage and howsoever arising) whether
to myself, to others or to property arising from or related to participation in off-site activities.
The NZCECE produces a regular eNewsletter and promotional materials which feature photographs of NZCECE students.
Please write a note on the bottom of this form if you do not consent to your photo being used.
I hereby declare the information on this application to enrol form to be true and correct and that I will notify the NZCECE
of any changes. In the event that it is determined that I have provided inaccurate information or failed to inform NZCECE of
any changes the matter may be referred to the NZCECE Operations Committee for consideration and the outcome could be
disenrollment.
Signature: Date: 2014:1
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REFEREES FORM
New Zealand College of
Early Childhood Education
Te Whare Matauranga Kohungahunga o Aotearoa
Hand in hand with your success
Units 12 & 13 114 Sawyers Arms Road
Christchurch 8052, New Zealand
PO Box 5561, Papanui, Christchurch 8542
Ph: (03) 365 3153 Fax: (03) 366 0391
0800 CHILDHOOD (244534)
www.teacher.co.nz
CONFIDENTIAL REFEREE REPORT TO SUPPORT AN APPLICATION FOR ENROLMENT
Applicant’s Information (student applying for enrolment):
Name:
Address:
Email:
Contact phone numbers:
Referee Information (person completing the form):
Name:
Address:
Email:
Contact phone numbers:
How long have you known the applicant and in what capacity (friends/family not accepted)?
Involvement and interaction with children
Please comment on your knowledge of the applicant’s involvement, interaction and relationship with
pre-school children. Please comment on the quality of this involvement and detail the period of time
of this experience.
1
REFEREES FORM
Suitability for tertiary study
Please comment on the applicant’s suitability for tertiary study including the applicant’s time
management, motivation and work ethic.
Relationship and personal qualities
Please comment on the applicant’s honesty, reliability, punctuality and relationships with others
Suitability for teaching and the care of children
The College requires all applicants to be of good character and Bachelor of Teaching ECE (Leadership)
applicants must also be suitable to apply to the New Zealand Teachers Council for registration as a teacher.
Yes
No
Please comment
Signed: ______________________________________ Dated: ___________________________________
Thank you for taking the time to complete this form, please ensure all areas are completed fully.
If you have any questions please do not hesitate to contact a Student Service Advisor at the College.
This form may be enclosed with the applicant’s application for enrolment or it may be sent directly
to the College:
P.O. Box 5561, Papanui, Christchurch 8542
New Zealand
2
AUTHORISATION TO DISCLOSE
INFORMATION FORM
Units 12 & 13, 114 Sawyers Arms Road
Christchurch 8052, New Zealand
PO Box 5561, Papanui, Christchurch 8542
Ph: (03) 365 3153 Fax: (03) 366 0391
0800 CHILDHOOD (244534)
www.teacher.co.nz
New Zealand College of
Early Childhood Education
Te Whare Matauranga Kohungahunga o Aotearoa
Hand in hand with your sucess
TO BE COMPLETED BY APPLICANT
Personal details
Applicant s Name: ....................................................................................................................................................................................................
Family Name
First Name
Date of Birth: .............................................................
Middle Names (separate by comma)
Place of Birth: ..................................................................................
(DD/MM/YYYY)
Gender (please circle): Female / Male
Nationality:
Previous names - maiden name, aliases
Name: ...........................................................................................................................................................................................................................
Family Name
First Name
Middle Names (separate by comma)
Name: ...........................................................................................................................................................................................................................
Family Name
First Name
Middle Names (separate by comma)
Residential address
Street Address:
Suburb:
City:
Post Code:
Authorisation
I,___________________________________________________________________________________________________
authorise disclosure by New Zealand Police of ANY information relating to any interaction I have had with Police in any
context, to the New Zealand College of Early Childhood Education Limited. I understand that any record of criminal
convictions I might have will automatically be concealed if I meet the eligibility criteria stipulated in Section 7 of the
Criminal Records (Clean Slate) Act 2004.
Signature: _____________________________________________ Date: _________________________________________
Police Vetting can only be carried out with the consent of the applicant s if this form is dated and signed. This form will be filed in
the applicant s file and used for the sole purpose of meeting the College s programme requirements.
Attestation - To be completed by Family Practicum only
I,___________________________________________________________________________________________________
attest that I have not had any criminal convictions that impact on my suitability as an adult living in the family home
where a New Zealand College of Early Childhood Education student is on practicum.
Signature: _____________________________________________ Date: _________________________________________
AUTHORISATION TO DISCLOSE
INFORMATION FORM
APPLICANT S IDENTIFICATION
Please attach a certified copy of the applicant s identification. The identification may be a Driver Licence or if applicant
does not hold a driver licence, a Passport. If applicant has neither, the subject will need to complete the following section.
Driver Licence
Passport
PROOF OF IDENTITY
This section is to be completed when an applicant doesn t have a photo identification such as a driver licence or passport.
To be eligible to fill out this section the person must:
have known the applicant for more than 12 months
be aged 18 years or over
not be a relative
not live at the same address
be contactable during normal business hours
Name: ...........................................................................................................................................................................................................................
Family Name
First Name
Middle Names (separate by comma)
Street Address:
Suburb:
City:
Post Code:
Daytime Phone Number:
I declare that I personally know:
Applicant s Name: ....................................................................................................................................................................................................
Family Name
for
First Name
Middle Names (separate by comma)
years and confirm his/her identity
Signature:
Date:
Office use only:
Date Entry:
Agency Reference:
ADIF:20133//1
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