U-Skills Application Form
To enrol online site search ‘U-Skills’ at www.ucol.ac.nz or forward applications to:
U-Skills Academy, Private Bag 11022,
Palmerston North 4442
Email: uskills@ucol.ac.nz
This form works best in Internet Explorer 9 or later, Google Chrome, Firefox, and Safari.

Instructions

Application for a U-Skills Academy or Dual Pathways programme is arranged in partnership with your parents/caregivers and your school. Once you've talked to everyone required, you can fill out the online application form. A parental signature is required, so please print the form before you submit it. We look forward to receiving your signed paper application with a verified copy of your birth certificate or current passport.

Please complete ALL sections of this form. Fields marked with an * are required fields

Enrolment Type:

U-SKILLS PROGRAMME DETAILS

What programme are you applying for? *
Location:
School *
Have you studied at UCOL before?
Are you applying for any other Trades Academy programme?

PERSONAL DETAILS

Legal surname *
Title
Legal first names *
Gender *
Preferred name
DoB: *
Previous name (if different)
Please enter dates in the format: dd/mm/yyyy.
National Student Number (NSN) or NZQA No. (if known)
UCOL Student ID (if known)
Year Level in 2020 *
Are you a New Zealand Citizen or Permanent Resident? *
If NO do you have a Student Visa?
Home address * (Results will be sent to your home address unless otherwise advised)
Alternative address (while studying)
Home Phone
Alt Number
Mobile *
Email
Please advise your preferred method of contact

PARENT/GUARDIAN CONTACT DETAILS

Name *
Address *
Relationship
Home Phone
Alternative Number
Mobile *
Email

ETHNICITY

With which of the following ethnic groups do you identify? * (You may tick or specify one box)
For New Zealand Maori, please identify your Iwi (You may list more than one)

MEDICAL AND LEARNING NEEDS

Do you have a medical or learning condition you want U-Skills to be aware of? *
If YES, please specify
Do you have an impairment, long term injury, specific learning disability, chronic illness, or a mental health condition? *
If YES, please specify
Do you require any additional support? *
If YES, please specify
(For example Reader/Writer Provision)
In an emergency, do you need assistance to evacuate the building? *
Office Use Only:
Entry Credits:
Literacy
Numeracy
Outcome:
Acceptance of place received:
Date:
Day Attending *:
Student Conversation by:
Date:
Student Accepted by:
Date:

IMPORTANT - PLEASE READ CAREFULLY

Privacy

UCOL collects and stores information from this form to comply with the requirements of the Ministry of Education, Tertiary Education Commision for funding and student statistical returns and other third parties, including Secondary Schools and parent/guardians. In signing this enrolment form you authorise such disclosure.

National Student Index Number

Please note that your name, date of birth and residency as entered on this enrolment 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 information please see www.nsi.govt.nx/ima

Rules

In signing this application form you undertake to comply with UCOL and U-Skills’s academic policies and statutes and other rules and regulations. An application is not a guarantee of a place on a programme until the enrolment process is completed and confirmed by UCOL. Programmes offered may not run in all locations. UCOL reserves the right to cancel or withdraw a programme, and will not be liable for any related costs incurred by you, or to compensate you. Upon successful enrolment, you must maintain appropriate attendance at your secondary school and in your U-Skills programme of study. If you breach the conditions of enrolment, UCOL may withdraw you from the programme.

Publicity photographs

Photographs of your son/daughter may be taken during the course of their studies for promotional purposes. Submission of this form indicates your express permission for such photographs to be taken.

Declaration

I declare that to the best of my knowledge all the information supplied on and with this Application to Enrol is true and complete. I agree to abide by the terms, conditions & requirements of the programme and I consent to the disclosure of personal information as described above.

I understand that if I have supplied false information or do not comply with the rules and regulations of UCOL or U-Skills, my enrolment may be cancelled. I undertake to protect my password from improper use; in particular, I declare I will not disclose my password to any third party.

Student Signature
Date
Parent/Guardian Signature
Date
I have provided a verified birth certificate or current passport [please tick]

Please print and sign this form

Applications must be signed and dated by the student applicant and their parent/guardian. Upon completing the form, please print it before submitting it.

Prepare accompanying documents

Your printed application needs to be provided to UCOL with a verified copy of the student applicant's birth certificate or current passport.


Please read UCOL's privacy policy: http://www.ucol.ac.nz/disclaimer-privacy