Generic Enrolment Form

About You
What was your main activity or occupation in New Zealand at the 1st of October preceding the start of this enrolment?*
You many only select one
What was the name of the last secondary school you attended?*
State 'Overseas' or 'Never attended' if applicable.
When was your last year at secondary school?*
What is the highest level of achievement you hold from a secondary school?*
Have you ever enrolled in a tertiary institute since leaving school?*

NoYes
If 'yes' please give the name of the institution.
Please give the year of enrolment
Will you be actively engaged in work/looking after a family while you are studying with us?*

NoYes
If you answered yes above, please advise:

Part-time workFull-time workLooking after family
Please give an account of your artistic background (if any), including subject, media used and any art-related short classes taken (i.e. weekend, evening classes).
Please list any further information that you feel would benefit TLC to know about you (optional).

Use of Information and Privacy Statement

The Learning Connexion collects and stores information from this form to comply with government statutes and regulations. It is also used to manage the business of The Learning Connexion Ltd. including, but not limited to, internal reporting and administrative processers.

The Learning Connexion may add your personal details (name, date of birth, gender and residency) to the National Students Index, which is managed by the Ministry of Education/NZQA.

When necessary by law, or to comply with the rules of The Learning Connexion Ltd., we will share information with government agencies such as the New Zealand Police, Department of Corrections, Ministry of Justice, Social Development, Accident Compensation Corporation (ACC), Ministry of Education, Tertiary Education Commission and the New Zealand Qualification Authority and any other related agencies that we are obliged to report to.

You may request to see any information held about you and request that any errors in that information be amended or noted. To do so, contact the enrolments officer.
Declaration
By signing and submitting this enrolment form and enrolling with The Learning Connexion I agree that:

I am the person named on this form and I declare that, to the best of my knowledge, all the information I have supplied on, and with, this enrolment form and process is true and complete

Fees- I undertake to pay all fees as they become due and to meet any late fees and collection charges associated with debt recovery. Up to date fee information can be found here: Fees

Rules- I undertake to comply with the policies and published programme rules of The Learning Connexion with regard to use of the internet, on site attendance, academic integrity and progress, health and safety, conduct and use of information systems. These may be viewed on our website Policies

Artwork - Artwork created during my study may be reproduced by The Learning Connexion for marketing, publicity and educational purposes.

TLC Newsletter - I will receive The Learning Connexion email newsletter if i have provided an email address.

School Agreement - I have read and understood our School Agreement
I confirm that I:*

Have read the rules and have taken note of the PoliciesI undertake to pay all fees as they become dueI have read and agreed to the class agreement
Signature*

Clear
Name*

First NameLast Name
If the applicant is under 18 years of age at the date of enrolment the parent/guardian must complete the additional information.
I declare that i am the parent/guardian of the applicant named on this form who is under 1the age of 18. I approve this application and undertake to pay the fees as they become due.
Name of parent/guardian

First NameLast Name
Parent's/guardian's signature

Clear
Parent's/guardian's Phone Number

Area CodePhone Number
For details regarding TLC’s Privacy Policy, click here.
Should be Empty:

Student Enrolment Form

Personal Details -

Heath and Well-being

Ethnicity

Identification

Payment Options

About You

Use of Information and Privacy Statement

Declaration