Application | Maverick School of Languages

First Name: *

Last Name: *

Nick Name:

Gender:

Male

Female

Address:

nationality:

Date of Birth:

Email:

Telephone:

Age:

Fax:

Full-time or Part-time:

Full-time

Part-time

Number of Weeks:

Have you studied in New Zealand before?:

Yes

If yes, where?:

Do you have any medical problems/disabilities?:

yes

If yes, please explain:

Other Information

Accommodation

Please select your choice of accommodation:

Homestay

Hostel

Own

Please complete for Homestay only

Number of weeks:

Do you like Animals?:

Yes

Do you smoke?:

Yes

Would you prefer a family with children?:

Yes

Hobbies/Sports:

List all that apply

Do you have any special requirements?:

List all that apply

Please remember that when placing you into one of our homestays we consider your safety as our main priority. Because of demand we are not always able to meet each of your requests, however we will always do our very best to try.

Medical and Health Insurance

As an International student, you must have appropriate and current medical and travel insurance while studying in New Zealand. This is a requirement by law. For further information click here.

Do you require Maverick School of Languages to arrange insurance for you?:

Yes

Code of Practice for the Pastoral Care of International Students
The Maverick School of Langauge is a signatory to the Code of Practice for the Pastoral Care of International Students.

We have agreed to observe and be bound by the Code of Practice for the Pastoral Care of International Students published by the Minister of Education. Copies of the Code are available on request from this institution or from the New Zealand Ministry of Education website at http://www.minedu.govt.nz/goto/international

New Zealand Immigration Service
If you would like to study for three months or less, you need to apply for a Visitor Visa. If you are planning to study for longer than three months you will need to apply for a Student Visa.

Full details of visa and permit requirements, advice on rights to employment in New Zealand while studying, and reporting requirements are available through the New Zealand Immigration Service, and can be viewed on their website at http://www.immigration.govt.nz

Parent/Guardian Details

If you are under the age of 18, your parent or guardian must complete the following section:

Name:

Address:

Email:

Telephone Number:

Fax Number:

I am the parent of the student named on this application form. I declare that:

The information supplied is true and accurate.
I understand the intention of the Ministry of Education Code of Practice for the Pastoral Care of International Students.
I have read the School's Conditions of Enrolment and understand the terms and conditions relating to enrolment as seen on the previous page.

Please check this box to agree to the above statements.:

Agree

Agent Details

This section should be completed by the agent - ONLY if applicable

Name:

Email:

Address:

Telephone Number:

Fax Number: