SECONDARY SCHOOL EDUCATION
No formal secondary qualiﬁcation
14 or more credits at any level
NCEA Level 1 or School Certiﬁcate
NCEA Level 2 or Sixth Form Certiﬁcate
NCEA Level 3 or Bursary or Scholarship
Overseas qualiﬁcation (includes International
Baccalaureate and Cambridge Exams)
Other - specify
What is the highest level of achievement you hold from a
secondary school? (Please tick one box only)
Please mail completed form to:
UCOL Information Centre
Private Bag 11022
Or drop it into one of our Information Centres:
Cnr of Princess and King Streets, Palmerston North
143-159 Chapel Street, Masterton
16 Rutland Street, Wanganui
0800 GO UCOL
0800 46 8265
June 2020 v6
Please tick only one box.
Secondary School student
Private Training Establishment student
Non-employed or beneﬁciary (excluding retired)
House-person or retired
Overseas - specify:
Wage or salary worker
Polytechnic/Institute of Technology student
What was your main activity or occupation in New Zealand on
the 1st October prior to the date of your programme starting?
Speciﬁc learning disability
Do you live with the effects of an injury, long-term illness or
If yes, please indicate your condition/disability by ticking the
boxes that apply to you.
Medical - specify:
Other - specify:
UCOL reserves the right to discuss with you and your medical
practitioner any medical conditions / disabilities that may imapct on
you successfully completing the programme/s or impacting on your
Day Month Year
7 ACKNOWLEDGEMENT & DECLARATION
I hereby apply for admission and enrolment at UCOL and I understand and
agree to the following:
b) That my enrolment at UCOL is subject to UCOL sending me a
c) That if I receive a UCOL Conﬁrmation Letter I will participate in course/s
I am enrolled in and use my best efforts to successfully complete those
d) I undertake to comply with all UCOL’s statutes, policies and procedures.
(these are available through the UCOL website www.ucol.ac.nz).
e) UCOL collects and stores the above information about you relating to
your course. In signing the Food and Fibre Taratahi Enrolment Form, you
authorise the collection and holding of this information.
Under the Privacy Act 1993 you may ask UCOL to provide you with
copies of the information it holds about you. If you disagree with any
such information you may ask to have it corrected.
f) UCOL can use any photographs/videos and/or recordings taken of me for
the purpose of marketing and media during and after my enrolment at
UCOL. I agree to sign other documents required by UCOL for this purpose
g) That the information I have given UCOL is true, and complete in
h) I acknowledge that the Taratahi Agriculture Training Centre is a drug,
alcohol and smoke-free campus.
i) That I have read, I understand and I agree to the Acknowledgment
& Declaration section of this Food and Fibre Taratahi Enrolment Form.
As soon as UCOL receives my Food & Fibre Taratahi Enrolment Form
and verified proof of my identity (e.g. passport or birth certificate), I have a
conditional contract to study at UCOL.
click to sign
click to edit