APPLICATION FOR ADMISSION

TE KUPENGA - CATHOLIC THEOLOGICAL COLLEGE
Edumis Provider Code 8717 registered as Good Shepherd College - Te Hepara Pai
APPLICATION FOR ADMISSION
You MUST complete ALL sections of this form & SIGN at end of form. Complete all relevant sections.

Return your completed and signed forms to: NZ Certificate and NZ Diploma in Christian Studies Post to PO Box 12243, Wellington 6144, scan and email to a.king@ctc.ac.nz or press submit at the end of the form.

Bachelor of Divinity and Graduate Diploma Post to PO Box 3440, Auckland 1140, or scan, email to admin@ctc.ac.nz or press submit at the end of the form.

All fields marked with a red asterisk are compulsory.

Please note that you must notify the College of any change in your contact details. Term Time Address (if different from Permanent Address).

Please note this form will take 5 to 10 minutes to fill in.
Name*

Preferred TitleGiven NamesFamily Name
Preferred First Name/ Previous name(s) known by

Preferred First NamePrevious name(s) known by
Date of Birth*

DayMonthYear
day month year
FemaleMale
National Student Number (if known)
Permanent Address*
Please note that you must notify the College of any change in your contact details.
Postcode
Email*
example@example.com
Phone *You must provide at least 1 phone number

HomeWorkMobile
Term Time Address (if different from Permanent Address)
Please note that you must notify the College of any change in your contact details.
Postcode
Phone
Format: (000) 000-0000.
Same as Permanent AddressSame as Term Time AddressOther
If you ticked "Other" please write your Postal Address
Postcode:
Name of Next of Kin*
Emergency Contact/Next of Kin*Required
Relationship to you
Email
example@example.com
Phone *You must provide at least 1 phone number

MobilePhone
Academic Information *Required

Secondary Level Education: What was the name of the last secondary school you attended? (State "overseas" if applicable)
School *

SchoolCity /Region
What was your last year at secondary school?*
What is the highest level of achievement you hold from a secondary school? Your highest achievement may be a "traditional" award such as School Certificate, or you may have achieved a number of credits or a National Certificate at a certain level on the National Qualifications Framework. Your NZQA Record of Learning shows you how many credits you have.
No formal secondary qualifications14 or more credits at any levelNCEA Level 1 or School CertificateNCEA Level 2 or 6th Form CertificateNCEA Level 3 or Bursary or Scholarship 5University Entrance **Overseas qualification * (includes International Baccalaureate & Cambridge exams)Other *Not known*Please specify if "Overseas qualification" or "Other"
** University Entrance attained from 2014 onwards is higher than NCEA Level 3 as Level 3 is one of the requirements that must be met to attain UE.
YesNo
Enter the year of first enrolment*
Highest qualification
Institution
YesNo
Institution
Course Name
Part-timeFull-time
YesNo
Secondary school studentNon-employed or beneficiary (excluding retired)Wage or salary workerSelf-employedUniversity studentPolytechnic studentHouse-person or retiredOverseas (irrespective of occupation)Private training establishment studentWānanga student
Are you are a New Zealand or Australian citizen?*
If you are NOT a New Zealand or Australian citizen or Resident go to the International Students Section below
Country of Citizenship*
You MUST provide evidence of citizenship or residency to qualify as a domestic student. This means you must provide one of the following:
- Birth certificate
- New Zealand passport
- Australian passport
- Statement of Whakapapa, including date of birth, countersigned by a kaumatua.
- Certificate of citizenship or letter of confirmation
- Overseas passport with residency stamp or letter from Immigration NZ confirming resident visa details.
IMPORTANT - if your name does not match that on the proof of citizenship/residency you must supply further evidence of your name change.
Upload your Certified ID here

Cancelof
In New ZealandOverseas (BDiv and GradDipTh only)
NZ European/PakehaNew Zealand MāoriSamoanCook Island MāoriTonganNiueTokelauanFijianOther Pacific Peoples *British/IrishDutchGreekPolishOther Southeast Asian*Latin AmericanOther Ethnicity *South SlavItalianGermanAustalianOther European*FilipinoVietnameseChineseIndianSri LankanJapaneseKoreanOther Asian *Middle EasternAfricanNot StatedPlease specify if you have picked Other Pacific Peoples, Other European, Other Southeast Asian, Other Asian or Other Ethnicity
Iwi: If you identified as New Zealand Māori above, what is the name of your iwi (tribe or tribes) and rohe (iwi home area)? You may enter more than one iwi. If you do not know your iwi, please enter "Don't Know".
YesNo
HearingLearningMobilityVisionMedicalOther
Please describe:
YesNo
If No, what is your first language?
If English is not your first language, you may be required to complete an IELTS test. For BDiv and GradDipTh students only: (Section B & C).
- What is the country of citizenship shown in your passport?
- For dual citizenship, specify the country of citizenship of the passport used to enter New Zealand
- Passport Number
- Expiry Date
  
  DayMonthYear
- Are you on a study, religious or work Visa?
- Visa valid until
- YesNo
- Insurance valid until
  International students MUST bring their passport, visa and insurance documentation with them when they enrol.
- Student Loans and Fees-Free Study
  
  Check at https://www.feesfree.govt.nz
- YesNo
- YesNo
- Study
  
  Please indicate which programme you are seeking admission into: Part A or Part B and/or Part C (Level 7)
- Section 1: Select your qualification NZ Certificate in Christian Studies, NZ Diploma in Christian Studies or Certificate of Personal Interest (Level 5 and 6 Programmes)
  Pre-Requisite: NZ Diploma in ChristianStudies:You will need a NZQAapproved level 5 or higher qualification in a related subject, Or any NZQA approved level 5 or higher qualification and relevant experience. Please provide supporting documentation.
- Section 2: Select your Courses (papers) for 2023
  Please enter the individual papers for which you wish to enrol in 2023. State exact start dates and teaching location (see example below). If you are studying through Distance Education please state this. Look at our website https://www.tekupenga.ac.nz/timetables for details of courses offered in 2023.
- Start Date Course Code and Title
- Start Date Course Code and Title
- Start Date Course Code and Title
- Start Date Course Code and Title
- Start Date Course Code and Title
- Bachelor of DivinityGraduate Diploma in Theology
- On campus (Auckland only)DistanceFull-timePart-time
- Please select the papers you wish to study. § Denotes courses available on campus only
  
  Most papers are 15 credits taught over 13 weeks of lectures. Papers marked* are 7.5 credits taught over 6 weeks. Check the website or for Semester 1 2023 Timetable and 2023 Semester 1 papers for level 7 with Lecturers
- B1000 - Introduction to Old Testament & the PentateuchB3010 - Johannine LiteratureC3000* - Canon Law and the SacramentsC3010* - Matrimonial and Procedural LawD2000 - Fundamental TheologyD3030* - EucharistD3050* - Ministry in the ChurchD3100 - Sacraments of InitiationD3120 - Marriage and OrdersM3000* - Sexual Ethics, Marriage, FamilyM3020* - Bioethics and Healthcare EthicsP1010 - Introduction to Pastoral Care and PsychologyS1000 - Introduction to Spiritual TheologyW1010 - Ancient and Early Medieval PhilosophyW2020 - Moral PhilosophyW3020 – Metaphysics
- Remember to also enrol with UNDA by following these step by step instructions.
- B1010 - Introduction to the New Testament & Pauline LiteratureB2000 - Prophetic LiteratureB3020* - Apocalyptic LiteratureC2000* - Introduction to Canon Law & GovernanceC3020* - Selected themes in Canon LawD2010 - Christology & SoteriologyD3010 - Creation, Anthropology, Grace & EschatologyH1010 - Early Church HistoryH3060 - The Catholic Church in New ZealandL1000 - Theology & Practice of LiturgyL3000* - HomileticsP2000* - Introduction to Church AdministrationP2050§ - Māori Pastoral CareS2000* - Studies in Spiritual TheologyW1000 - Logic and Critical ThinkingW2000 - Late Modern & Contemporary Philosophy
- YesNo
- Name of English Language Test completed
- Test Date
  
  DayMonthYear
  DD/MM/YYYY
- Test Score
  Please provide the original test results or a certified copy.
- Student Support QuestionnairePassport size photograph$100 depositAcademic Transcripts – secondary and / or tertiaryStudent contract formIELTS Test Results (if required)
- Birth Certificate, Passport or Certificate of Citizenship (certified copy)Evidence of residency (if required)Evidence of name change if your current name does not match that of your passport or birth certificateAcademic Transcripts - if seeking credit for previous study
- Upload supporting documents here
  
  Cancelof
- Who is paying your fees? (Name and Address)*
  Invoice Address If someone else is paying your fees
- Declaration
- Privacy – Te Kupenga – Catholic Theological College (CTC)* collects and stores information from this form to:
  
  ·        manage the business of CTC (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, including legislation governing the maintenance of official records and for accountability for public funding.
  
  ·        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 CTC 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 CTC 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. It also governs the collection, use, storage and disclosure of personal information.              The Privacy Act requires CTC 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?src=qs.
  
  Supply of information to government agencies and other organisations
  
  CTC 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 CTC 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, CTC 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.
  
  Consent
  
  In addition, CTC is asking students for their consent to release names and academic information to Catholic diocesan offices for the purposes of using the data to administer records for the Catholic schools Certification and to conduct research/analysis required for planning PD, resources and needs of schools and parishes.
  
  Consent is also requested to survey relevant employers to determine whether our graduate outcomes are fit for purpose, and to take and use images of students for educational and promotional purposes.
  
  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. CTC's policy on withdrawal and refund of fees is included in the Disclosure of Information to Students and part of the enrolment information.
  
  Rules – In signing this enrolment form you undertake to comply with the published rules and policies of CTC https://www.tekupenga.ac.nz/catholic-theological-college/ready-to-learn/student-policies with regard to attendance, academic integrity and progress, conduct and use of information systems.
  
  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.
  
  For level 5 and 6 awards only - I acknowledge that I have received and read the information entitled Disclosure of Information to Students 2023 as required by section 354(a-c) of the Education and Training Act 2020 prior to my enrolment at CTC.
- Please let us know how you got to know about CTC
- Signature*
  
  Clear
- Date
  
  DayMonthYear
  Date
- PLEASE SIGN AND DATE YOUR ENROLMENT FORM ON THE LINE ABOVE
  
  *Te Kupenga - Catholic Theological College (CTC), registered as Good Shepherd College - Te Hepara Pai
- Documentation Received DD/MM/YYYY Approved on behalf of CTC Name of Person Entered Wisenet Follow-up request sent: Application form Copy of Birth Certificate / Passport / other proof of citenship or residency status College ID:
- Should be Empty:

TE KUPENGA - CATHOLIC THEOLOGICAL COLLEGE

APPLICATION FOR ADMISSION

Declaration