Aniva Future Pacific Nurses Application S1 2025

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The Aniva Future Pacific Nurse Leaders (AFPNL) programme aims to address barriers to success for Pacific nursing students in becoming New Zealand registered nurses and enrolled nurses.

We provide financial grants each semester to help meet the nursing specific costs of study, such as uniforms, vaccinations or travel for clinical placements.

We also host networking events to bring together Pacific nursing students and Pacific Nurse leaders from the community.

Click 'Next' below, to complete the 2025 Aniva Application Form online.

For any questions, email us at: info@pacificperspectives.co.nz

Note: Existing Aniva Future Pacific Nurses students who have received Aniva Future Pacific Nurse Leaders support previously, need to complete the Aniva Renewal Form 2025 (S1).
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Have you ever received Aniva Future Pacific Nurses support before?* This field is required.
YESNO
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If you have received Aniva Future Pacific Nurses support before, you need to complete the Aniva Renewal Form 2025 (S1)

If you have any queries, please contact us on: info@pacificperspectives.co.nz
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Confirmation of Eligibility:* This field is required.Please confirm you understand and meet all eligibility criteria for the Aniva Future Pacific Nurses programme. You can view our full Terms and Conditions here: https://www.pacificperspectives.co.zn/anivafutures-termsandconditions
I am enrolled in an eligible nursing programme with AUT, MIT, Unitec, UoW, Whitireia or Wintec in 2025
I am a New Zealand citizen, permanent resident or resident at the time of application; and
I am of indigenous Pacific Island descent. (Note: we may request proof of your Pacific Island ancestral links)
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Personal Information* This field is required.
First Name(s)
Preferred Name (if different from First Name)
Surname
Please Select
Please Select
Female
Male
Non-Binary
Gender
Student ID Number
Mobile or Phone Number
Email Address
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Date of Birth* This field is required.
Day
Month
Year
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Home Address* This field is required.
Street Address
Suburb
City
Post Code
Post Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Country of Birth* This field is required.
New Zealand
Pacific country (select below)
Other
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Pacific Country of Birth* This field is required.
American Samoa
Cook Islands
Federated States of Micronesia
Fiji
French Polynesian
Hawaii
Kiribati
Marshall Islands
Nauru
New Caledonia
Niue
Palau
Papua New Guinea
Rapanui (Easter Island)
Rotuma
Samoa
Solomon Islands
Tokelau
Tonga
Tuvalu
Vanuatu
Wallis and Futuna
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NZ Citizenship/Residency* This field is required.
New Zealand Citizen
New Zealand Permanent Resident
New Zealand Resident (Student Visa)
Other
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Other Citizenship* This field is required.List all the countries you hold citizenship with 'Excluding New Zealand' - if none, enter 'NA'.
Countries of Citizenship (excluding New Zealand)
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Pacific Ancestry* This field is required.Please select the Pacific Nation(s) you are descended from in the list provided below. (Note: You must be of 'indigenous' Pacific Islands descent to be eligible for the Aniva Future Pacific Nurses programme.)
American Samoa
Cook Islands
Federated States of Micronesia
Fiji
French Polynesian
Hawaii
Kiribati
Marshall Islands
Nauru
New Caledonia
Niue
Palau
Papua New Guinea
Rapanui (Easter Island)
Rotuma
Samoa
Solomon Islands
Tokelau
Tonga
Tuvalu
Vanuatu
Wallis and Futuna
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Other Ethnicity* This field is required.What other ethnic group(s) do you identify with?
New Zealand European
Māori
Chinese
Indian
Other
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Languages Spoken* This field is required.
Please Select
Please Select
Yes, English is my first language
No, English is not my first language
Is English your first language?
Please Select
Please Select
Yes, I can speak another language(s)
No, I cannot speak another language(s)
Do you speak another language(s) other than English?
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First Language* This field is required.Please specify your first language spoken in the box below.
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Other languages spoken* This field is required.Please list any other language(s) excluding English you can speak conversantly in below.
Other languages (non-English) spoken
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Tertiary Institution* This field is required.Select the Tertiary Institution you are enrolled with below.
Auckland University of Technology (AUT)
University of Waikato (UoW)
Te Pukenga - Manukau Institute of Technology (MIT)
Te Pukenga - Unitec Institute of Technology (Unitec)
Te Pukenga - Whitireia & Weltec New Zealand (Whitireia)
Te Pukenga -Wintec Institute of Technology (Wintec)
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Nursing Programme* This field is required.Please select the undergraduate or pre-registration nursing programme you are enrolled in below.
Bachelor of Nursing Pacific
Bachelor of Nursing
Bachelor of Health Science (Nursing)
Bachelor of Nursing Maori
Diploma of Enrolled Nursing
Master of Nursing Science (Pre-reg)
Master of Nursing Practice (Pre-reg)
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Stage of Qualification* This field is required.In Semester 1 2025, what stage of your programme will you be in?
Year 1, Semester 1
Year 1, Semester 2
Year 2, Semester 1
Year 2, Semester 2
Year 3, Semester 1
Year 3, Semester 2
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Bank Account * This field is required.Enter your Bank Account number in the box below. If your number does not fit this format, please enter your bank account number as all 000s in order to complete and submit your application and email info@pacificperspectives.co.nz for assistance.
eg. 00-0000-0000000-00
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Proof of Bank Account* This field is required.Upload proof of your bank account details below.
Drag and drop files here
Select files to upload
eg. a bank statement or screenshot of bank account details
Cancelof
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Proof of Student ID* This field is required.Upload a copy of your Student ID below.
Drag and drop files here
Select files to upload
eg. a copy of your student ID including photo, or enrolment confirmation letter or course fees invoice
Cancelof
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Declaration* This field is required.Tick the boxes below to confirm you agree to the Terms and Conditions of this application and will comply as required:
I consent to Aniva Future Pacific Nurses programme (Aniva Future Pacific Nurses) and Pacific Perspectives Ltd verifying information provided in my application with details held by my Tertiary Education Institution.
I consent to information about my academic progress and achievement, being shared by my Tertiary Education Institution with Aniva Future Pacific Nurses and Pacific Perspectives Ltd.
I understand Aniva Future Pacific Nurses will comply with the Privacy Act 2020 and will not use this application information for purposes other than disclosed in the Pacific Perspectives Privacy Policy.
I agree to be contacted by Aniva Future Pacific Nurses and Pacific Perspectives Ltd via email, phone, and SMS messages about Aniva Future Leaders events and to seek my feedback on Aniva Future Leaders. Any feedback and information will be anonymised if used by Aniva Future Pacific Nurses for reporting.
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Signature* This field is required.By signing below, I agree to the terms and conditions of the Aniva Future Pacific Nurse Leaders programme and consent to the use of my information for the purposes specified in this application.
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