Pathways College of Bible and Mission

Pathways College of Bible & Mission

Enrolment Form 2021

7 Oak Lane,
Judea,
Tauranga 3110
New Zealand

Freephone: 0800 2 PATHWAYS
Phone: +64 7 571 6981
Email: info@pathways.ac.nz

Welcome to Pathways College of Bible & Mission. Please read the instructions below carefully before you complete this enrolment form.
INSTRUCTIONS

The purpose of this enrolment form is to obtain from you the information we need to enrol you into a qualification or course at our organisation. We also need to collect information from you which is required by government agencies for statistical and registration reasons. Please fill in the form properly by:
- Completing all sections of the form
- Signing the form
- Attaching to the form additional documentation that is required for government funding purposes. A description of the required documentation is requested throughout this form.

QUALIFICATION
Please select the name of the qualification you with to enrol in for 2021: *
Qualification Start Date: *
Have you previously studied at Pathways College of Bible & Mission? *

Yes No
Do you intend to Study: *

Full Time

TELL US ABOUT YOURSELF

What is the name of the church you regularly attend *
How long have you been attending this church *
Church Denomination *
Church Phone Number *

Area Code Phone Number
Church Email *
example@example.com
Please outline your past and present involvement in your local church and/or other Christian organisations, giving level of responsibility, and if possible dates. *
What do you hope to achieve from your study at Pathways? *
What are your hopes for the future: do you have any particular thoughts about the kind of Christian work you think God is leading you into? *
Please briefly tell us how you became a Christian - your testimony *

INTERNSHIP PLACEMENT

Name of Placement Organisation *
Name of Proposed Supervisor *
Supervisor's Contact Number(s) *

DOCUMENTATION
To qualify as a domestic student, and so be entitled to the Government tuition subsidy, you must be:
- a citizen of New Zealand (including students from the Cook Islands, Tokelau, or Niue who have New Zealand citizenship) OR
- a permanent resident of New Zealand OR
- a citizen or permanent resident of Australia residing in New Zealand OR
- a citizen of New Zealand (including students from the Cook Islands, Tokelau, or Niue who have New Zealand citizenship).
If you are studying overseas full-time and face-to-face at a campus or delivery site of a New Zealand tertiary education organisation (TEO), you may also qualify as a domestic student if
- you are a permanent resident of New Zealand or a citizen or permanent resident of Australia AND
- you are studying in an approved country AND
- the overseas study is Level 7 or above on the New Zealand Qualification Framework.
The 29 approved countries are in the Asia, Latin America and Middle East regions. A full list is available on the Education New Zealand website.

You must provide evidence of citizenship or permanent residency. To do so you must produce one of the following:
- Birth certificate with place of birth stated as New Zealand, Cook Islands, Tokelau, or Niue.
- New Zealand passport.
- A certificate of identity.
- A statement of Whakapapa, including date of birth, countersigned by a kaumatua.
- A New Zealand certificate of citizenship.
- Overseas passport with residency stamp.
You can bring the original documentation to the Pathways College Office or, alternatively please provide a certified copy. This means a photocopy, photograph or scanned copy of your original document, signed as being a true and accurate copy by a Justice of the Peace (JP), Barrister or Solicitor, Notary Public, Court Register or Deputy Registrar, Member of Parliament, Land Transport New Zealand, Public trust, or local authority employee designated for this purpose. When a learner is in a remote community and unable to access a person listed in the Oaths and Declarations Act, a member of the New Zealand Police, school principal, minister of religion, or general practitioner is acceptable.

International students must bring their passport with them when they enrol.

Please note that your name, date of birth and residency as entered on this enrolment form will be included in the National Student Index, and will be used in an Authorised Information Matching programmes with official governement information such as the New Zealand Birth Register, to verify the information provided.

On occasion, more than one National Student Number is created for an individual. The Ministry regularly monitors the quality of the National Student Index and, when duplicates or errors are discovered, it works with providers and government agencies to merge duplicates and correct errors. This may require the documentation you provide at enrolment being shared between agencies authorised to access the National Student Index to make these corrections.

For further information please see: http://nsi.education.govt.nz/home.aspx
Certified Copy of Passport or Birth Certificate *

Cancel of

LEGAL
Contact Details

Home Address and Contact details *

Home Address

Postal Address: (If different from home address

Street Address

Suburb

Town/City

Post Code

Email *
example@example.com
Phone Number *

Area Code Phone Number

Address while studying: (If different from home address):

Address while studying

Street Address

Suburb

Town/City

Post Code

Email
example@example.com
Phone Number

Area Code Phone Number
Next of Kin:
Name *

First Name Last Name
Phone Number *

Area Code Phone Number

DECLARATION
PLEASE READ CAREFULLY

Privacy – Pathways College of Bible & Mission collects and stores information from this form to:
- manage the business of Pathways College of Bible & Mission (including internal reporting, administrative processes and selection of scholarship and prize winners)
- comply with the requirements of the Education and Training Act 2020 and other legislation[[1]] relating to maintenance of records
- supply information to government agencies and other organisations as set out below.
In signing this enrolment form you authorise the disclosure of your personal information on the understanding that Pathways College of Bible & Mission will comply with the legal requirements in relation to the use and disclosure of personal information, as set out in the Privacy Act 2020, the Education and Training Act 2020 and other relevant legislation. You are entitled to see any information that Pathways College of Bible & Mission holds about you and request to correct any errors in that information. To do so, contact the Registrar.

NB: The Privacy Act 2020 has the stated aim of protecting the privacy of individuals. The Privacy Act requires Pathways College of Bible & Mission to collect, hold, handle, use and disclose personal information in accordance with the twelve information privacy principles in the Act. http://www.legislation.govt.nz/act/public/2020/0031/latest/LMS23223.html

Supply of information to government agencies and other organisations

Pathways College of Bible & Mission supplies data collected on this form to government agencies, including:
- the Ministry of Education
- Education New Zealand
- the New Zealand Qualifications Authority
- the Tertiary Education Commission
- the Ministry of Social Development (in relation to student loans and allowances) and Inland Revenue (student loans)
- Immigration New Zealand (for those who are not New Zealand citizens or permanent residents) and the Ministry of Business, Innovation and Employment
- agencies which support particular students through scholarships, payment of fees or other awards (if you are a recipient of one of these awards)
- Those agencies use the data collected from Pathways College of Bible & Mission to:
- administer the tertiary education system, including allocating funding and the administration of the Fees-Free and Fees-Free Trades Training initiatives
- develop policy advice for government
- conduct statistical analysis and research.
Your personal details (name, date of birth and residency) as entered on this form will be included in the National Student Index and may be used in an authorised information matching programme with the New Zealand Birth Register.

The government agencies above may supply data collected on this form to Statistics New Zealand for the purposes of integrating data with data collected by other government agencies, subject to the provisions of the Statistics Act 1975. Integrated data is used for the production of official statistics, to inform policy advice to government and for research purposes.

In handling data supplied by you on this form, the government agencies are required to comply with the provisions of the Privacy Act 2020.

When required by law, Pathways College of Bible and Mission releases information to government agencies such as the New Zealand Police, Department of Justice, Ministry of Social Development, and the Accident Compensation Corporation (ACC).

Information collected on this form may be supplied to other educational organisations for the purpose of verifying academic records.

Fees – In signing this enrolment form you undertake to pay all fees as they become due, and to meet any late fees and collection charges associated with debt recovery. Pathways College of Bible & Mission’s policy on withdrawal and refund of fees may be obtained from the Registrar.

Rules – In signing this enrolment form you undertake to comply with the published rules and policies of Pathways College of Bible & Mission with regard to attendance, academic integrity and progress, conduct and use of information systems.

[1] This includes legislation governing the maintenance of official records and for accountability for public funding.
I consent to Police Vetting: (This is a condition of enrolment.) *

Yes
Declaration: I declare that to the best of my knowledge all the information supplied on, and with, this enrolment form is true and complete, I agree to abide by the conditions described above, and I consent to the disclosure of personal information as described above. *

Clear
Should be Empty:

Pathways College of Bible & Mission