Individual Student Enquiry Form new

Individual Student Placement Service Enquiry Form

Please fill out the form and submit. We will then get in touch with you.
Name of Agency if applicable*
Contact person*
E-mail address*
Relationship to the student*
i.e agent, parent. friend...
Student's name*
Male or Female*
Student's country of origin*
Student's spoken language*
Age of student*
Level of English*
ESOL required?*

YesNo
Start date at the school - if known*

DayMonthYear
End date at the school - if known*

DayMonthYear
Flexibility to dates?*

yesno
What regions would the student consider? Please tick all the options s/he is interested in*

No preferenceNorth IslandSouth IslandNorthlandAucklandWaikatoBay of PlentyTaranakiGisborneHawkes BayManawatu - WanganuiWellingtonNelson-Tasman-MarlboroughWest CoastCanterburyOtagoSouthlandOther
Homestay preference*
Please share some of the student's interests*

In less than 250 words0/250
Please share why the student wants to study in New Zealand. What goals do they have while they are here?*

For example: They want to make new friends, find new interests, experience a different culture, become involved in sporting events, outdoor lifestyle, explore and travel to different parts of New Zealand, improve their English skills, learn in a different way, grow in confidence and independence etc0/250
Additional comments

0/250
By submitting your student/s placement enquiry to SIEBA, you agree to the following terms & conditions:

1. The sole purpose of the Student Placement Service (SPS) is to connect agents and SIEBA member schools. By listing your group enquiry through the SPS, it will be visible to all member schools.

2. SIEBA does not guarantee a placement with a member school. SIEBA will list your student/s placement enquiry on the SIEBA website for 5 working days.

3. In the case that no school submitted interest within 5 days, we will extend for another 5 days. After 10 days, the listing will be taken off the website.

4. After a minimum of 5 working days, SIEBA will create an overview of all interested member schools and send it to the agent. The overview includes school names and contact details, as well as short school profiles if available.

5. SIEBA is not involved in contracting, price negotiating or planning of group visits. SIEBA might assist with guidance where necessary.
Yes, I agree to the terms and conditions.
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Individual Student Placement Service Enquiry Form