SECONDARY SCHOOL EDUCATION
(continued)
No formal secondary qualification
14 or more credits at any level
NCEA Level 1 or School Certificate
NCEA Level 2 or Sixth Form Certificate
University Entrance
NCEA Level 3 or Bursary or Scholarship
Overseas qualification (includes International
Baccalaureate and Cambridge Exams)
Other - specify
3
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
Palmerston North
Freepost 460
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
Contact us:
0800 GO UCOL
0800 46 8265
Website: www.ucol.ac.nz
Email: enquiry@ucol.ac.nz
September 2016
PRIOR ACTIVITY
Please tick only one box.
Secondary School student
Self-employed
Private Training Establishment student
Non-employed or beneficiary (excluding retired)
University student
House-person or retired
Overseas - specify:
Wage or salary worker
Polytechnic/Institute of Technology student
Wananga student
4
What was your main activity or occupation in New Zealand on
the 1st October prior to the date of your programme starting?
Blind
Specific learning disability
Mobility
Vision impaired
DISABILITY DETAILS
Do you live with the effects of an injury, long-term illness or
impairment?
Yes No
If yes, please indicate your condition/disability by ticking the
boxes that apply to you.
Deaf
Speech
Hearing impairment
Psychological/
Psychiatric disability
Medical - specify:
Other - specify:
Reasonable additional support is available for students with
medical conditions, disabilities and/or learning difficulties.
5
Signature Date
Day Month Year
6 ACKNOWLEDGEMENT & DECLARATION
I hereby apply for admission and enrolment at UCOL and I understand and
agree to the following:
a) As soon as UCOL receives my ACE Enrolment Form and verified proof of
my identity, I have a conditional contract to study at UCOL.
b) That my enrolment at UCOL is subject to UCOL sending me a
Confirmation Letter.
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
course/s.
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 studies. In signing the ACE 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 (if required).
g) That the information I have given UCOL is true, and complete in
all respects.
h) That I have read, I understand and I agree to the Acknowledgement
& Declaration section of this ACE Enrolment Form.
click to sign
signature
click to edit