Application to Study Form

Full Name*

Date of birth*

Gender*

Email Address*

Address*

Phone Number*

Alternate Phone Number*

NSI number if known

Tick the box which describes your citizenship.*

New Zealand Permanent Resident*

Secondary School:

What was the name of the last high school you attended? State “overseas”, if applicable.*

What was your last year at high school?*

Please list the qualifications that you have achieved?*

Tertiary School:

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?

If you answered “No”, please enter the name of the institution you studied at and year of your first enrolment

Full Name*

Year

Please list your main interests, hobbies and achievements*

Please list any previous work experience

What career would like to pursue following the completion of this course?

Drivers Licence (Tick the box which describes your situation.)*

Do you suffer from any medical condition/s or any other commitments that may impact on your attendance?*

Where did you hear about FEDS?*

Please provide a brief statement explaining why you wish to study with FEDS in 2022.*

Declaration – I declare that to the best of my knowledge all the information supplied is true and complete.

Full Name*