Spirometry Certification Application

Spirometry Certification Application
Personal Details
Name*

First NameMiddle NameLast Name
Work Email*
NZQA Details
Have you completed any NZQA approved qualifications (including schooling) in NZ in the past?*

YesNo
National Student Number
If you do not have an NSN, SCT will apply for you to be allocated one.

If you are unsure of your NSN, instructions to find it can be found here.
Employment Details
Title*
Hospital/Employer*
Start Date of Current Position*

MonthDayYear
Date
Spirometry Supervisors Email*
Your supervisor will be contacted to process your application
Please describe any previous respiratory experience;*
Payment Options;*

Invoice to applicantInvoice to employer
The course fees are $250. If your application is successful, we will contact you or your employer regarding payment.
Should be Empty:

NZQA Details