Funded Course Enrolment Form | Katikati Community Centre

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First and Last Name

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Email

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Home Phone Number

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Mobile Phone Number

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Course I want to enrol in

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I am a citizen of New Zealand (I was born in NZ or have a NZ passport)

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I am a resident of New Zealand (I have a NZ residence visa)

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I came to New Zealand as a refugee

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Ethnicity

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Date of Birth

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Gender

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Highest Education Level

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How did you find out about this course?

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I am a migrant to New Zealand

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(ESOL enrolments ONLY) I need help to improve my English (reading, writing, speaking or understanding)

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Address

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