Whangarei Girls' High School

International Student Application Form and Contract of Enrolment

Fields marked with * are required and must be completed

Information Required
Note: It is important that you include all relevant information about the student in your application. This information is used to ensure that the student is supported properly upon arrival and to match them with suitable homestays, teachers and courses. Where information is included relating to health issues or learning needs, disclosure of this information will not automatically disqualify the Student from Enrolment. However, failure to disclose information or providing misleading information may result in the withdrawal of an Offer of Place or termination of a Contract of Enrolment.
Please make sure you have scanned copies of the following documents ready to upload before you begin:
- your current passport (if available)
- your photo
- your last school report (translated into English)
- vaccination certificate (if available)
- insurance certificate (if available and must be in English)
Student Details
First name (Name must be as it appears on your passport)
*
Middle names (Name must be as it appears on your passport)
Last name (Name must be as it appears on your passport)
*
Preferred first name
Date of birth
*
The Education (Pastoral Care of International Students) Code of Practice 2016 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
*
Gender
*
Ethnicity
*
First language
*
Address (In home country)
*

*
*

*
Phone number (In home country)
+--
New Zealand mobile number
Email address
*
How long have you studied English
Years Months
Level of English
Sporting Interests
Other:
Cultural Interests
Other:
Agency Information (If using an agent)
Agency name
Agent name
Agent email address
Previous Applications
What is the name of the school you currently attend?
Have you applied to Whangarei Girls' High School before?
If 'Yes', when?
Have you studied in New Zealand before?
If 'Yes', please state which school
Has a family member or relative ever enrolled at Whangarei Girls' High School before?
If 'Yes', please complete details here:
Full name
Year attended
Travel Details
Arrival date (if available)
Passport number (if available)
Passport expiry
National ID Number (Chinese students Only)
*
Student Visa number (if available)
Student Visa issued
Student Visa expiry
Parents or Legal Guardian Details
NOTE: It is a requirement of New Zealand regulations that schools must maintain effective communication with parents and legal guardians. To comply with the requirements, contact information provided in this section MUST be the contact information for the parents or legal guardian.
Parent One or Legal Guardian Details:
First name (Name must be as it appears on your passport)
*
Middle names (Name must be as it appears on your passport)
Last name (Name must be as it appears on your passport)
*
Relationship (eg mother, father, aunt, guardian)
*
Occupation
Current Address
*
*

*
Phone number (in home country)
+--
Work number
+--
Mobile number
+--
Email address
*
Passport number
Parent Two or Legal Guardian Details:
First name (Name must be as it appears on your passport)
Middle names (Name must be as it appears on your passport)
Last name (Name must be as it appears on your passport)
Relationship (eg mother, father, aunt, guardian)
Occupation
Current address




Phone number (In home country)
+--
Work number
+--
Mobile number
+--
Email address
Passport number
Accommodation Details
The Education (Pastoral Care of International Students) Code of Practice 2016 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.
Where will you be staying? *
Homestay Information
Letter to Homestay
Please write a short letter (below) to introduce yourself to your new host family. Tell them about your family, what you like, why you're coming to New Zealand any anything else you want them to know.
*
Important Homestay Considerations
Please include any important homestay requirements eg vegetarian, that you are allergic to cats, that you attend church, etc. This information is used to help us choose the best homestay for you.
*
Designated Caregiver (DCG) Details (if staying with a relative or close family friend)
First name of caregiver
*
Middle names of caregiver
Last name of caregiver
*
Relationship to student (eg aunt, guardian, close family friend)
*
Occupation
New Zealand physical address
*



Phone number
*
Work number
Mobile number
Email address

Please note: A DCG must be a relative or close family friend of the family. This accommodation must be approved by Whangarei Girls' High School prior to the student's arrival. Please provide a copy of the passport (and visa if applicable).

Medical and Insurance Information
Do you wish to purchase insurance through the school? *
If 'Yes', please ensure the medical information section below is completed fully and accurately to ensure appropriate coverage for the student for any pre-existing conditions they may have.

An appropriate insurance policy is required and must cover travel and health to and from New Zealand and for the entire length of stay in New Zealand. Note: This Policy must be provided in English.

Insurance company
*
Insurance policy number
*
Insurance policy expiry
*
Has the student been vaccinated for any diseases? (If 'Yes', upload an English copy of your vaccination certificate below)
*
Permission is given for Whangarei Girls' High School to administer Paracetamol.
*
Permission is given for Whangarei Girls' High School to administer Ibuprofen.
*
Medical Conditions
Does the student have any of the following medical conditions:
Asthma HIV or AIDS Tuberculosis Depression/Anxiety Back/Neck Problems Diabetes ADD or ADHD Panic Attacks Glandular Fever Hepatitis A,B or C Allergies Chicken Pox Allergy to Bee/Wasp stings Epilepsy Food Allergies Migraines Heart Condition Eating Disorder
Additional medical information
Does the student have any pre-existing medical conditions (for insurance purposes) or history of previous illness that may affect the enrolment, including mental illness? If 'Yes', please provide details. Withholding information may result in your contract being terminated.
Current Medications
If the student suffers from conditions requiring medication, it is advisable to bring their own medication to New Zealand. You will be required to notify the school regarding any medications that you bring with you.
The school WILL dispense any over the counter medications as it sees fit to students UNLESS specified below.
Allergies
Doctor name (in home country)
Doctor phone
+--
Emergency Contact (in home country, other than parents)
First name
Last name
Relationship to the student
Phone number
+--
Address
Email address
Course Details
Study Programme
When will you start?
Year * Term * Duration * Terms
Start: *
Finish: *

INFORMATION REGARDING SUBJECT SELECTION:

Subject preferences in this application are an indication only and actual subjects will depend upon availability and prior learning. The school reserves the right to determine subject placement and year level throughout enrolment in consultation with students and families.

Year 11 & 12 - choose up to 6 subjects Year 13 - choose 5 subjects Your subjects will be reviewed on arrival and approved based on availability and suitability.

Year/Subjects
Learning and/or behavioural difficulties
Does the student have any learning or behavioural difficulties which may require extra support or services? Please provide details. Failure to notify of any difficulties may result in your enrolment being terminated.
Comments
Is there anything further that the school needs to be aware of in enrolling the student as an international student? If 'Yes', please provide details.
Declarations

All Contract Documents for Whangarei Girls' High School must be fully read and understood and the Declaration Form signed as confirmation of this - to access these Contract Documents and the Declaration Form, click on the link below.

COMPULSORY: You MUST download this DECLARATION FORM

Please print, sign, scan(or photograph) and upload the Declaration in the 'File Uploads' section below under Signed Declaration.

File Uploads
Passport
Your Photo
Last School Report (translated into English)
Other file
Vaccination Certificate
*
Insurance Certificate (if available and must be in English)
Signed Declaration (see above)
*