Wellington High School Fax: 64-4-382-9226 Email: ifp@whs.school.nz

APPLICATION FOR A PLACE

Dear Principal

I would like to study in New Zealand and would be grateful if you would allow me to enrol at your school for the year at year (form) level.

MYSELF

Family Name
Names
Date of Birth: (Enter as Day/Month/Year)
Sex	Male Female
Address
Telephone
Fax
E-Mail
Father's e-mail
Mother's e-mail
Country of Birth
Nationality
Country of Normal Residence
Passport Number
Country of Issue

MY PARENTS

Father's Name
Father's Occupation
Father's Address (if different from mine)
Father's Telephone
Father's Fax
Mother's Name
Mother's Occupation
Mother's Address (if different from mine)
Mother's Telephone
Mother's Fax

MORE ABOUT MYSELF

Present school and class
Previous schools attended
Number of years studying English
My spoken English is:	not very good good excellent
Subjects being studied this year (indicate those which are taught in English)
I would like to study the following subjects at your school
When I leave school I intend to study further for: (state qualifications aimed at (e.g. A university degree in (subject), a polytechnic degree/certificate/diploma in (subject), teacher training, etc.

MEDICAL INSURANCE
I will arrange suitable medical insurance before arrival.
I would like the school to arrange medical insurance.

I FOUND OUT ABOUT THE SCHOOL FROM
An education agency
A New Zealand Embassy or High Commission
A friend or relative
Internet contact or website

ACCOMMODATION ARRANGEMENT
I have made arrangements for accommodation with: (enter name and address)

or I would like the school to arrange homestay.

HOMESTAY ACCOMMODATION
If you want the school to arrange a host family, please complete this section.

Please understand that nearly all New Zealand homes have a cat. The school cannot guarantee accommodation where there are no pets unless you express a medically supported allergy.

My Brothers and Sisters
Name Age Sex Occupation
Name Age Sex Occupation
Name Age Sex Occupation

Food
I really like
I really can't eat

My Health
I have the following problems which my host family should be aware of.

My Personal Interests ( Hobbies, Sports, Music)

COMMENTS relating to this application

CONTRACT WITH WELLINGTON HIGH SCHOOL
Acceptance of a formal offer from Wellington High School by the payment of tuition fees implies that you accept the conditions of this contract. The documents related to the contract are all on the Student CD sent with the formal offer.

I undertake that my son/daughter will behave in a manner acceptable to Wellington High School and abide by the rules of the school as outlined in the Information for Students CD sent with the formal Offer of Place.

I accept that Wellington High School has the right to review and adjust my son's/daughter's course of study if this is deemed by the school to be in his/her best interests.

I have read and understand the Wellington High School Fees Refund Policy.

I understand that my son/daughter may not own or drive a motor vehicle while he/she is a student at Wellington High School.

I will notify the school of any change of my contact details.

I understand that the school will act as guardian in relation to my son/daughter unless I nominate another person resident in New Zealand and acceptable to the school.

DISPUTES
In the event of any disputes, New Zealand law and the jurisdiction of New Zealand courts will apply.

I have read and understood the above information and agree to abide by the school rules.

When this document is completed on-line, the name of the parents will be accepted as a validation of the information for students under the age of 18.

Complete this section only if sending this form by fax or post:

Applicant's signature...........................................

Parent's signature.................................................

Date..............................

Enter the name of the person completing this form

Click once on the "SUBMIT" button below to send your application. It may take a few seconds to process.