Te Ao Mārama

07 595 0595 33 Hare Puke Drive, Hamilton

International Student Enrolment Application Form

Please complete this enrolment application for any international fee-paying students wishing to attend Te Ao Mārama School.

Student Details


Male
Female

Parent 1 Details

Father Mother Legal Guardian Mr Dr Mrs Miss Ms

Parent 2 Details

Father Mother Legal Guardian Mr Dr Mrs Miss Ms

Emergency Contact Details

Agent Details

Medical Information

Yes No

Asthma
HIV or Aids
Tuberculosis
Depression/Anxiety
Back or Neck Problems
Diabetes
ADD or ADHD
Glandular Fever
Hepatitis A, B or C
Allergies
Food Allergies
Epilepsy
Migraines
Heart Condition
Eating Disorder
None of the Above
Please select any medical conditions that the student has or does suffer from. More details can be provided below.
Yes No Yes No Yes No

Learning Information

Yes No

General Details

Yes No

Yes
No
If 'Yes', please detail below
Yes No Yes No Yes No

Accommodation Requirements

Homestay Designated Caregiver Live with Parent

Music
Movies / TV
Reading
Outdoor Activities
Water Sports
Travel

Designated Caregiver Details

Insurance Details

Yes No

Southern Cross
Uni-Care
Other
No Preference

Please provide a copy of your insurance policy in English

This form needs to be completed in conjunction with the following declarations (where applicable):
1. Parents/Legal Guardians' Declaration and Authorisation
2. International Student Accommodation Agreement (if student is staying in school approved homestay)
3. Designated Caregiver Agreement (if student is staying with a relative or family friend)

These declarations can be found on the 'Enrolment Declarations' page under the International Students tab

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