Bethlehem College Signup Form

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Information Required

Important: You must include all relevant information about the student in this application. This will ensure that the student is correctly supported upon arrival and matched with a suitable homestay, teachers and subject courses. Where information relates to health issues or learning needs, honest disclosure of information will NOT automatically disqualify the student from enrolment. However, failure to disclose or providing misleading information may result in the withdrawal of an Offer of Place or termination of a Contract of Enrolment.

Before you begin this application, please have scanned copies of the following documents ready to upload:

Current passport
Portrait photo
Last school report (English translation)
Vaccination certificate, if available (English translation)
Insurance certificate, if available (English translation)

Note: Fields marked with

★

are compulsory

THIS APPLICATION MUST BE COMPLETED IN ENGLISH

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Your information is saved every time you press the ‘Next Section’ button. Need a break? You can come back at any time at the link below.

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Agent Details

Complete this section if you are applying through an Education Agent

Agency name

Agent name

Agent email address

Tick for communication to Agent only (the student will NOT receive any application information or emails)

Student Details

First name (Name must be as it appears on your passport)

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Middle names (must be as it appears on your passport)

Family name (must be as it appears on your passport)

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Preferred first name

Date of birth

Note: The Education (Pastoral Care of Tertiary and International Learners) Code of Practice 2021 requires that all students under the age of 10 must live with a parent for the duration of their enrolment at school in New Zealand.

Country of citizenship

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Gender

Male Female Other

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Ethnicity

First language

Address (In home country)

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Phone number (In home country)

+--

New Zealand mobile number

Email address

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How long have you studied English?

Years Months

What is your level of English?

Travel Details

Anticipated arrival date in NZ (if known)

Passport number

Passport expiry

National ID Number (Chinese students Only)

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Student Visa number (if available)

Student Visa issued

Student Visa expiry

Previous Applications

What is the name of the school you currently attend?

Have you applied to _SCHOOLNAME_ before?

Yes No

When did you apply?

Have you studied in New Zealand before?

Yes No

Which school did you study at?

Has a family member or relative ever enrolled at _SCHOOLNAME_ before?

Yes No

Full name

Year attended

Parent/s or Legal Guardian Details

Note: New Zealand regulations state that schools must maintain effective communication with parents and legal guardians. To comply with these requirements, information provided in this section MUST be the contact information for the parent/s or legal guardian.

Parent One or Legal Guardian Details:

First Name

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Middle Names

Family name

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Relationship (eg mother, father, aunt, guardian)

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Occupation

Current AddressCopy Student Address

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Work number

+--

Mobile number

+--

Email address

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Passport number

Parent Two or Legal Guardian Details:

First name

Middle names

Family name

Relationship

Occupation

Current addressCopy Student Address

Work number

+--

Mobile number

+--

Email address

Passport number

Accommodation Requirements

Which type of accommodation do you require?

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Homestay (arranged by the school)

Homestay Information

Letter to Homestay

Please write a self-introduction to your new host family. Tell them about your family and pets, your interests, your reason for coming to New Zealand and anything else you would like them to know about you.

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Specific Homestay Requirements

Please list any specific homestay requirements or preferences you may have (e.g. vegetarian, allergic to cats, regularly attend church, etc). This information is used to help us match you with the best possible homestay family.

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Designated Caregiver (relative or close family friend)

Designated Caregiver (DCG) Details

Note: A DCG must be a relative or close friend of the student's family. Any DCG accommodation MUST be approved by _SCHOOLNAME_ prior to the student's arrival. A copy of the DCG's passport will be required at a later date.

First name of caregiver

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Middle names of caregiver

Family name of caregiver

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Relationship to student (eg aunt, guardian, close family friend)

★

Occupation

New Zealand physical address

★

Work number

Mobile number

Email address

Live with Parent/s

Emergency Contact

Please provide details of an emergency contact person in your home country (not your parents)

First name

Family name

Relationship to the student

Phone number

+--

Address

Email address

Additional Comments

Is there anything further that the school should know regarding the enrolment of this international student? If 'Yes', please provide details:

File Uploads

Passport

★

Remove and re-upload

Portrait Photo

★

Remove and re-upload

Last School Report (English translation)

★

Remove and re-upload

Vaccination Certificate (English transalation)

Remove and re-upload

Insurance Certificate (English translation)

Remove and re-upload

COVID-19 Vaccine Certificate (English translation)

Remove and re-upload

Language Assessment Certificate

★

Remove and re-upload

Other file (e.g. letter of reference, photo collage, etc)

Remove and re-upload

Declarations

All Contract Documents for _SCHOOLNAME_ must be fully read and understood and the Declaration Form signed as confirmation of this. Failure to disclose relevant information or the provision of false information may result in termination of enrolment. Make sure all details on these forms are completed and the correct people have agreed to the enrolment conditions. Please read and understand the contracts before signing.

These are important legal documents, please read all clauses carefully. By signing these contracts you:

declare that the information contained within them is true and complete
understand that any false or incomplete information submitted in support of your application may invalidate it and may result in the withdrawal of an Offer of Place
agree that you have received sufficient information to make an informed decision about enrolment at the School
confirm that where the student is under 10 years of age, the student will live with a parent or legal guardian in New Zealand while enrolled at a school, unless accommodated in a school hostel

The Contract of Enrolment includes provisions that:

allow the School to discipline the Student, including by expulsion, or to remove them from the School on health and welfare grounds;
control and limit the Student's rights of refund when Enrolment ends early;
require the Parents to make full disclosure of all relevant information; and
provide consent for the School to permit certain activities without further agreement from the Parents.

You MUST read all the Contracts listed below, agree to them by typing your name in the compulsory signature boxes, and click the ‘Sign Contracts’ button (Note: Education Agents MUST NOT sign these Contracts on your behalf). The contracts will be generated with representative signatures and emailed to you for your records.

Parent or Legal Guardian Signatory

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Relationship to Student

★

Student Signatory

★

Once you click the button below, the contracts will be generated. This may take a few moments, so please be patient.

Sign Contracts

You have signed and generated all contracts required for your application. You can view any of the contracts by clicking on the links below.

Application Ready

Thank you! Your application is now complete. When you are ready, please click the ‘Submit Application’ button below as the final step in your online enrolment. Your application will be automatically submitted.

Submit Application

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Bethlehem College

International Student Application Form