APPLICATION FORM FOR ENTRY

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1 Address 360 Albany Highway Albany, Auckland 0632 Postal PO Box Albany Auckland 0752 New Zealand Telephone APPLICATION FORM FOR ENTRY Page 1 New Zealand/Australian Citizens and Permanent Residents plus Holders of New Zealand Business Visas Page 2 International Fee Paying Students Page 3 All applicants Page 4 All applicants Page 5 All applicants Page 6 All applicants (The NZ Ministry of Education requires this page to be completed) Please include with the completed Application Form: Copy of last school report. Copies of any specialist reports relating to learning abilities, such as an Educational Psychologist report. It is particularly important that complete and accurate information be provided regarding any learning support or special needs for your child. It is essential that full disclosure be made at the time of application. Photo of applicant. Copy of full Birth Certificate. In some countries this document is known as the Family Register or Household Register. Non-NZ citizens who are Permanent Residents of NZ must also provide a copy of their current passport showing personal details and Residency Visa/Residency Permit. Immunisation Certificate. (It is a requirement of the NZ Ministry of Health for schools to maintain an Immunisation Register.) International Students must provide a copy of their Birth Certificate and current passport (plus current Student Visa or Visitor s Permit if issued). Application fee of NZ$225 (Please note that this application fee is non-refundable and that the acceptance of this fee does not guarantee that an interview or offer of place will be made.) Please forward your completed application with documents attached to: Registrar of Admissions Kristin School, PO Box Albany, Auckland 0752, New Zealand Phone: 64 (09) ext admissions@kristin.school.nz Or visit our website

2 NEW ZEALAND CITIZENS AND PERMANENT RESIDENTS & HOLDERS OF NZ BUSINESS VISAS Office use only Please attach photograph of applicant here If the student is neither a NZ/Australian Citizen nor a NZ Permanent Resident please complete page 2. If a parent of the applicant holds a NZ Work Permit, please complete this page. Please submit a copy of your Work Permit with this application. Legal First Names: Preferred First Name (if applicable): Legal Surname: Postal Address (if different): Date of Birth: Day Month Year Gender: Male Female Current Year level at school (e.g. Year 6): Year (e.g. 2014): Entry to Kristin School required in Year level (e.g. Year 7): Year (e.g. 2015): Name of current kindergarten or school applicant attends: Prior to an interview, do you as parent/guardian give Kristin School permission to contact the applicant s kindergarten or school for additional information? Is the applicant a NZ Citizen? Yes No (If yes, please provide a copy of the NZ Birth Certificate) If not a NZ citizen, which nationality is the student? Is the student a permanent resident of NZ? Yes No (NZ Permanent Residents must also provide a copy of their Residency Permit with this application) (Holders of NZ Business Visas must provide a copy of their Business Visa with this application) (Please provide copy of Birth Certificate) Which language does the student speak at home? What other languages does the student speak? Which ethnic group does the student belong to? If the child identifies as Maori, please enter the name(s) of his/her Iwi. (This information is collected by the Ministry of Education for statistical purposes) Iwi: Iwi Home Area:

3 INTERNATIONAL FEE PAYING STUDENTS Important: Kristin School does not generally accept International Fee Paying Students under the age of 14 years unless they live in Auckland with a parent permanently present. Office use only Please attach photograph of applicant here Legal First Names: Preferred Names (if applicable): Home Address Overseas (this is essential information): Legal Surname: Address: Date of Birth: Day Month Year Gender: Male Female Current Year level at school (e.g. Year 6): Year (e.g. 2014): Entry to Kristin School required in Year level (e.g. Year 7): Year (e.g. 2015): Full Name of Mother: Full Name of Father: What nationality is the student? Which ethnic group does the student belong to? Which languages does the student speak? A copy of the student s birth certificate and passport must be provided with this application form. Alternative Emergency Contact Name: (This is essential information and must be a person living in the home country other than those listed above) Relationship to student: Work Telephone Number: Current kindergarten or school applicant attends: Prior to an interview, do you as parent/guardian give Kristin School permission to contact the applicant s kindergarten or school for additional information? Do you require Kristin School to make homestay arrangements for you?

4 DETAILS OF PARENTS AND GUARDIANS Father (if not father please state relationship, e.g. stepfather): First Names: Surname: Occupation: Industry/Area of Activity: Address: Name of Company: Mother (if not mother please state relationship, e.g. stepmother): First Names: Surname: Occupation: Industry/Area of Activity: Guardian/Caregiver (for students NOT living with parents) First Names: Address: Name of Company: Surname: Occupation: Name of Company Alternative Emergency Contact Name: (This is essential information and must be a person living in Auckland other than those listed above) Relationship to student: Parents of the applicant who are past pupils of Kristin School: Siblings of the applicant who are current or past pupils of Kristin School: Siblings of the applicant (other than those named above): Name: DOB: Current Preschool/School: Name: DOB: Current Preschool/School: Name: DOB: Current Preschool/School:

5 AREAS OF EXPERTISE AND POSSIBLE HELP FOR THE SCHOOL A special feature of Kristin is the close co-operation that exists between students and staff. We regard this as one of the great strengths of the school and believe that you as parents can foster this and help us to provide a stimulating learning environment for our students. You may have professional expertise, skills or contacts that will enable us to enhance our academic, sporting or cultural programmes. You may have cultural or artistic talents or sporting skills that could be employed in coaching teams. Perhaps you could provide work experience for senior students or supply products at a competitive rate either for regular school use or for fundraising projects. Maybe you would consider becoming even more involved by joining Kristin Family and Friends or standing for the Board of Governors. All parents, staff, past pupils and friends of the school regularly receive newsletters and fundraising appeal materials from our School Relations Office. There is an expectation that all parents of the school will support the ongoing development of facilities and resources of Kristin. 1. Please indicate how you first heard of Kristin School: 2. Please indicate below ways in which you could help Kristin: 3. Please note any additional information that might be helpful to the school in considering this application:

6 PRIVACY ACT 1. We acknowledge that these records will be held and used by Kristin School and any other organisation or group that functions under the auspices of the School for any lawful activity that these bodies undertake. 2. We acknowledge that the information we have provided will be used to determine whether or not the applicant is offered a place at Kristin School. 3. We are aware of our rights to have access to the information, to request correction of it, to be informed of any action taken in response to such a request and to have attached to the information a statement that we have requested a correction. We agree to pay any reasonable charges in connection with these requests. 4. We acknowledge that the information may be provided to education authorities if required by law. 5. We authorise the School to obtain any information about the applicant that may be necessary to achieve the purpose of educating the School s pupils and to disclose any information obtained during the course of the applicant s education to the applicant s parents. 6. We acknowledge that if any information required by this application form is not provided, the application may be rejected. 7. We agree to our name, address and contact details being included on a class list for circulation to all parents in our child s year level. I/We have read the above statement relating to the Privacy Act and agree to these conditions. I/We hereby submit an application for a place at Kristin School. Signature of Father/Guardian: Date: Signature of Mother/Guardian: Date: Signature of Applicant if over the age of 16: Date: Please forward your completed application with documents and fee of NZ$ attached to: Registrar of Admissions Kristin School PO Box Albany North Shore City 0752

7 PRIOR-PARTICIPATION IN EARLY CHILDHOOD EDUCATION The following information is requested by the NZ Ministry of Education to be completed for every applicant. Did the applicant attend one or more Early Childhood Education service(s) in the six months prior to starting school? Please complete the table below for the last service(s) attended. Instructions: 1. If the child was attending more than one service at the same time, please enter hours per week for up to three services. 2. If the child attended one service, but changed to a different service within the six months prior to starting school, please complete the table for the last service only, not both. 3. If the child s attendance hours varied, or the parent/caregiver is uncertain, please enter an approximate or average number of hours per week. Please enter the number of hours per week for up to three services: a. Kohanga Reo b. Playcentre c. Kindergarten or Education and Care Centre d. Home based service e. Playgroup f. The Correspondence School Te Aho o Te Kura Pounamu Service 1 (hrs/week) Service 2 (hrs/week) Service 3 (hrs/week) Or Please tick the appropriate box g. Attended, but only outside New Zealand h. Attended, but don t know what type of service i. Did not attend j. Unable to establish if attended or not Did the child regularly attend Early Childhood Education? Instructions: Regularly attend means the child was booked in to a service for sessions each week/fortnight, and generally went to those sessions unless they were sick, or on holiday, or had a family occasion, etc. Yes, for the last year(s). Not regularly, only occasionally with no on-going schedule. No, did not attend ECE.

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