N E W Z E A L A N D...Number of Years studying English Tests and Qualifications Accommodation I...

N E W Z E A L A N D

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mailto:[email protected]://www.gbh.school.nz/

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Front Row: Linda Mason, Steph Hartill, Melinda Machin, Stuart Machin, Roger File, Deb Marsden, Mini Filey, Julia Phillipps, Judi File, Jeanine Taylor. 2nd Row: Margie Little, Rosie Astill, Richard Bayliff, Yvonne Whiting, Michelle Anderson, Jill Foxwell, Phil Rawiri, Jim Barnes, Murray McIver, Hazel Oates, Gaylene Wilkinson, Pete Mitchison, Mary Pitcon, April Stevens, Chris Campbell. 3rd Row: Bronwynn Billens, Heather McKendry, Raewyn Solly, Paul Childs, Mark Mackenzie, Rob Anderson, Lizzy McAlinden, Michelle Dallison, Gareth Batten. 4th Row: Matt Benassi, Robin Slow, Glenda Allinson, Jonny Anderson, Kevin Durkan, Bluey Powell, Tasmine Palmer, Yvette Ireton. Absent: Bill Holloway, Cath Rogers, Cherie Chamberlain, Clare Harvey-Smith, Don Mckee, Hess Williams, Jan Bunting, Joachim Maurer, Judy Murray, Kylie Connell, Lisa Bradley, Pam Brunner, Paul Nield, Sue Mitchison, Tony St Claire, Val Brownlie.

http://www.nzqa.govt.nz/studying-in-new-zealand/http://www.nzqa.govt.nz/studying-in-new-zealand/

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http://www.moh.govt.nz/http://www.acc.co.nz/http://www.immigration.govt.nz/

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Student under 16 appears

to be non-attending

Student over 16 appears to

be non-attending

School follows procedures

laid out in MOE circular

99/03

School informs NZIS of non-

attendance

MOE refers matter to NETS

on NETs-1 form

NETS advises NZIS if student

is still in New Zealand and

not attending school

NZIS evicts student on

grounds of breach of

conditions of Visa

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12 Waitapu Road Telephone: 0064 3 525 9914

Takaka Facsimile: 0064 3 525 9067 NEW ZEALAND [email protected]

PERSONAL DETAILS

Name: (Family Name) (First Name)

Address:

Telephone: Fax:

Nationality: Email:

Date of Birth: Male/Female:

Mother’s Name:

Address (if different from yours)

Telephone:

Father’s Name:

Address (if different from yours)

Telephone:

Emergency Contact Person (Not Mother or Father):

Name:

Relationship to Applicant:

Address:

Telephone:

Level of study: Period of study: Year 13 NCEA Level 3 D 1 Term 1 D Start Date …..……………

Year 12 NCEA Level 2 D 2 Term 2 D Start Date .….……………

Year 11 NCEA Level 1 D 3 Term 3 D Start Date ………………..

Year 9/10 D 4 Full Year D Start Date …..……………

Health:

Have you arranged medical insurance for your stay in NZ?

Do you smoke?

Do you have any medical problems

Yes

Yes

Yes

D

D

D

No

No

No

D

D

D

If yes please give details:

mailto:[email protected]

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Your Interests: Cultural/Sports

Your reason for wanting to enrol at GBHS

EDUCATIONAL BACKGROUND:

Junior High School

Name:

Address:

Senior High School:

Name:

Address:

Subjects currently being studied:

English Language

Number of Years studying English

Tests and Qualifications

Accommodation I require homestay accommodation D

I am a vegetarian D

Documents – Please attach the following to this application: 1. Current photograph D

2. A recent school report D

3. Letter of recommendation from your teacher of English D

4. Letter of recommendation from your school D

5. Medical Certificate (in English) D

6. Signed letter of contract D

Signature: (Student)

Signature: (Parent/Caregiver)

Date:

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1. Golden Bay High School agrees to: a) Provide a full New Zealand education programme. b) Provide an approved homestay. c) Provide the opportunity for your child to fully participate in NZ's multicultural society. d) Provide two reports per year on your child's progress at the school. e) Provide a disciplined environment in which your child can progress both educationally and personally.

Parents will be informed with regard to any breaches of school or homestay policies.

f) Provide an orientation programme before the start of Term 1 to introduce students to Golden Bay High School and the New Zealand way of life.

g) Honour all responsibilities outlined in the refunds policy.

2. The students and the parents agree to:

a) Entry at the start of a school term only, to allow maximum benefit for intensive courses. b) Understand and observe all Golden Bay High School rules, particularly:

- To attend classes on time– the International Director monitors this. - To make an effort in every class to complete all set work, and assignments to a satisfactory standard. - To attend all form meetings, Dean’s meetings and assemblies. - To obey all rules regarding leave. - To wear regulation uniform correctly, including sport and Physical Education (Y7-11 only). - To participate in school activities as required.

The following are not permitted at any time: - Smoking - Use of alcohol or drugs - Any form of violence (physical or verbal) against another person or property.

c) Attend for the full school year, including making travel arrangements that do not interfere with school time. d) Homestays

- The school must approve Homestays - The school is responsible for payment to the homestay family. Students must: - Obey the conditions set by the homestay parents. - Participate with the homestay family in everyday New Zealand cultural activities.

3. Contacts: For school and homestay matters contact; Director of International Students

4. Fees

a) Tuition Fees: Will be payable one year in advance before arrival. b) Homestay Fees: Payable in advance

It is important that full documentation is kept when dealing with students. Acceptable behaviour is expected in the school and in homestays. A student is covered by the terms of this Contract at all times while he/she is a student at Golden Bay High School.

Serious breaches of this contract may result in termination of tuition. All students are subject to the regulations outlined in the Education Act 1989

SIGNED:

Student Parent

DATE:

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Name of Student: ............................................................................................................................................ Date of Birth: ................................................ Place of Birth: ...........................................................................

Please get this form truthfully completed by your general practitioner, so that we can offer adequate help if required.

The student is immunised against the following (please also enter the date of the last vaccination):

Measles Last vaccination: ……………………………………….

Tetanus Last vaccination: ……………………………………….

Mumps Last vaccination: ……………………………………….

Diptheria Last vaccination: ……………………………………….

Tuberculosis Last vaccination: ……………………………………….

Hepatitis A Last vaccination: ……………………………………….

Malaria Last vaccination: ……………………………………….

Hepatitis B Last vaccination: ……………………………………….

Chickenpox Last vaccination: ……………………………………….

Hepatitis C Last vaccination: ……………………………………….

German Measles Last vaccination: ……………………………………….

Pertussis Last vaccination: ……………………………………….

Polio Last vaccination: ……………………………………….

Meningicoccal B Last vaccination: ……………………………………….

Further Vaccinations: .......................................................................................................................................................

Has the student had any of the following illnesses?

Measles Hepatitis A Depression

Mumps Hepatitis B Eczema

Chickenpox Hepatitis C Haemophillia

German Measles HIV Concussion

Tuberculosis Asthma Epilepsy

Diabetes Anorexia/Bulimia Pneumonia

Has this student got heart conditions? Yes No

Has this student got hearing problems? Yes No

Medication:

Is ongoing medication being taken? Yes No

If yes, please give the name of the medication and the dosage: ......................................................................................

........................................................................................................................................................................................

Is this student allergic to any medication? Yes No

If yes, please specify: .......................................................................................................................................................

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+

Is this student allergic or intolerant to certain foods? Yes No

If yes, please specify: ...................................................................................................................................................

.....................................................................................................................................................................................

Is this student allergic to insect bites/stings? Yes No


Does this student have other allergies? Yes No


Does this student wear: Contact Lenses Glasses

Does this student wear dental braces: Yes No

Date of last dental check: .............................................................................................................................................

Height: ......................................................... (in cm) Weight: ............................................................ (in kg)

Has this student ever had a mental health issue? Yes No

If yes, please give details: .............................................................................................................................................

.....................................................................................................................................................................................

.....................................................................................................................................................................................

Is there any family history that we should be aware of? Yes No


.....................................................................................................................................................................................

.....................................................................................................................................................................................

I declare that in my expert opinion this student is emotional stable.

There are absolutely no concerns about the student’s intended High School experience in New Zealand.

Date and Place: ................................................................................................ Signature of the General Practitioner: ..............................................................

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http://www.nzqa.govt.nz/studying-in-new-zealand/http://www.minedu.govt.nz/goto/international.

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mailto:[email protected]://www.minedu.govt.nz/

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Student grievance received by institution

and dealt with according to internal complaints

policy.

Institute remedies problem

NO Grievance involves an alleged breach of the Code.

Student writes to IEAA

IEAA contacts education institution to investigate problem, and decides whether student has been treated

unfairly and provider has breached Code of Practice.

IEAA makes a recommendation to institution to remedy problem or refers the

complaint to other authority e.g. NZQA if

appropriate

YES NO

Problem found No action required

Institution complies NO with recommendations

or requirements

IEAA refers the

situation to the Review Panel

Review panel may suspend or remove a signatory from the

Code of Practice list

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N E W Z E A L A N D...Number of Years studying English Tests and Qualifications Accommodation I...

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