Online Enrolment Form

NZLC ENROLMENT FORM Enrolment Form 2022/2023

If you are completing this enrolment form on a public or shared computer, make sure you open the form on a new or incognito window, and either close or reload/refresh the page after submitting the form.

Student Information

First Name

Date of Birth ×

Title*

Mr

Ms

Mx

Last Name

Nationality

Gender*

Male

Female

Other

Please specify

Passport Number (only if you already know)

First Language

*

Please enter the student personal email. If you are an Education Consultant, please enter your details under “Education Consultant”.

Email Address

Phone Number *

(your country)

Phone Number (your country)

Phone number in NZ

(only if you already have one)

Phone number in NZ (only if you already have one)

Upload your passport here:

(only if you already have one)

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: jpeg,png,jpg,pdf

Select Files

Home Address *

(your country)

Address

City

Country

Please specify:*

(e.g.) partnership visa, work visa

Do you have any special needs or medical conditions that NZLC should know about?*

Full disclosure is vital to ensure your care and safety

Yes

No

Please specify:*

(e.g) visual impairment, hearing impairment, depression, anxiety, diabetes, and etc.

Have you used an “Education Consultant” ?*

An Education Consultant is an education agent/advisor who provides you with all the information related to studying, working and living in New Zealand, explains the NZLC T&C and outlines the requirements found in the NZ Code of Practice (check here: https://www.nzqa.govt.nz/providers-partners/tertiary-and-international-learners-code).

Yes

No

“Education Consultant” company name*

Contact Person *

Contact Person

Email Address *

Email Address

Promotion

Do you want to apply any promotion to this enrolment?*

(e.g. family and friends special)

Yes

No

Please specify:*

Write Here

Christmas & New Year Break (18 years + only)

Do you want to take a break if your enrolment falls over the Christmas and New Year holiday period?*

(Applies to “special curriculum” weeks - refer to NZLC Course Calendar)

Yes

No

Will decide later (refer to "Holiday Request" under "Additional Services/Procedures" in the NZLC Terms and Conditions)

Starting from

Select Date ×

For how many weeks?*

Write Here

Course Details

See NZLC Fees and Courses Form

Which campus do you want to study at?*

Which course are you interested in?*

You can select more than one course

Which course are you interested in?

IELTS Preparation course starts every 6 weeks on Monday*

*Except Public Holidays

Select Date ×

Number of Weeks*

Select below:

Please specify how many weeks you would like to study at NZLC: *

Write Here

Other/Special course or packages options: *

*You can select more than one option

Please let us know what programme you would like. We will get in touch with you about your request!

Please specify:*

Write here

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request.

Please note, this options is subject to availability but NZLC team will get back to you with further information before confirming your request.

Which course are you interested in Auckland?*

You can select more than one course

General English course options:*

You can select more than one course

General English course starts every Monday* *

*Except Public Holidays

Select Date ×

Number of Weeks*

Select below:

Please specify how many weeks you would like to study at NZLC: *

Write Here

Cambridge Exam Preparation course options:*

Cambridge Exam Preparation B2 First (FCE) start dates:*

*Cambridge course is available only in Auckland campus

8 January to 15 March 2024 (10 weeks)

18 March to 24 November 2023 (10 weeks)

16 September to 22 November (10 weeks)

I prefer another date (refer to NZLC Course Calendar)

Cambridge Exam Preparation C1 Advanced (CAE) start dates:*

*Cambridge course is available only in Auckland campus

8 January to 15 March 2024 (10 weeks)

18 March to 31 May 2024 (11 weeks)

16 September to 22 November (10 weeks)

I prefer another date (refer to NZLC Course Calendar)

Please choose another date below: *

Select Date ×

Number of Weeks*

Select below:

Young Learners course options:*

Young Learners English + Activities start dates:*

8 July 2023 to 9 August 2024 (minimum 1 week enrolment, maximum 6 weeks)

I prefer another date

Young Learner English + Activities *

*Select the start date below

Select Date ×

Number of Weeks*

*Minimum 1 week enrolment, maximum 5 weeks.

Please specify how many weeks you would like to study at NZLC: *

Write Here

Young Learner General English/ High School Preparation course*

8 Jan to 2 February 2024 (minimum 1 week enrolment, maximum 4 weeks)

I prefer another date

Young Learner General English/ High School Preparation course*

*Select the start date below

Select Date ×

Number of Weeks*

Select below:

Please specify how many weeks you would like to study at NZLC: *

Write Here

Other/Special course or package options: *

*You can select more than one option

Please let us know what programme you would like. We will get in touch with you about your request!

Please specify:*

Write here

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request.

Please note, this options is subject to availability but NZLC team will get back to you with further information before confirming your request.

Arrival and Departure Information

Arrival Airport

Arrival Date

only if you already know

Select Date ×

Departure Date

only if you already know

Select Date ×

Arrival Time

only if you already know

Write Here

Departure Time

only if you already know

Write Here

AM / PM

only if you already know

AM (Morning) / PM (Afternoon)

AM / PM

only if you already know

AM (Morning) / PM (Afternoon)

Flight Number

only if you already know

Write Here

Flight Number

only if you already know

Write Here

NZLC Wellington is temporarily closed until further notice.

Do you want NZLC to arrange your airport transfer?*

No - I will arrange my own airport transfer.

Yes

*

One Way

Return (two ways)

One Way

Auckland

Return

Auckland

Do you want to book for the extra luggage? (e.g. more than 3 suitcases, bike in a box, surfboard, golf bag) *

Yes

No

*

Arrival only

Departure only

Return (two ways)

Describe your extra luggage (e.g. 1x golf bag):*

Write here

Accommodation

Do you want NZLC to arrange your accommodation? *

No

Yes

Your NZ Address (only if you already know)

Write Here

Number of Weeks*

(from 1 to 52 weeks)

Write Here

From*

(weekend prior to course start date)

Select Date ×

To*

(weekend of course completion)

Select Date ×

Type of Accommodation*

Homestay Half Board

Homestay Full Board - only available for Young Learners (14 - 17 years)

Homestay Preferences

A family with younger children*

Yes

No

No Preference

A family with older children*

Yes

No

No Preference

With Pets*

Yes

No

I prefer NO pets inside the house but outside is OK

No Preference

Pet allergy? *

Yes

No

Any other reason? *

Yes

No

Please specify*

Write Here

Please specify*

Write Here

Please note that most families in New Zealand have pets. If you choose the “No pets” option, we may not be able to meet all of your other preferences.

Do you SMOKE?*

Yes

No

Do you have any food restrictions?*

Yes

No

Please specify*

Write Here

Do you have any allergies or medical conditions that your homestay should know about?*

Yes

No

Please specify*

Write Here

Any other special requirements*

Write Here

Travel & Medical Insurance

All International students must have appropriate and current medical and travel insurance for the duration of their enrolment at NZLC and for travel to and from New Zealand, regardless of the type of visa held. NZLC will arrange your insurance with Southern Cross or another insurance company which meets the requirements set out in the latest New Zealand Qualification Authority (NZQA) Education (Pastoral Care of Tertiary and International Learners) Code of Practice 2021. For more details, please check ”Travel and Medical Insurance” in the NZLC Terms and Conditions.

Would you like NZLC to arrange insurance with Southern Cross for you?*

Yes

No

If travel/medical insurance is bought through NZLC, the insurance will start 3 days before the student’s NZLC start date to cover the travel period. If a student is travelling to NZ more than 3 days before their NZLC start date, the student must inform NZLC in order to arrange an earlier start date for the insurance.

NZLC strongly recommends arranging policy through NZLC. If the student’s own insurance policy does not meet the conditions below, the student will be required to upgrade their policy or order one through NZLC, which can be requested at any time during the enrolment process or on arrival.

If you provide your own insurance policy, it must meet the requirements outlined in the NZQA Education (Pastoral Care of Tertiary and International Learners) Code of Practice 2021, as stated below:

• Covers travel to and from New Zealand and travel within New Zealand; and

• Medical care in New Zealand, including diagnosis, prescription, surgery, and hospitalization; and

• Repatriation or expatriation of the student as a result of serious illness or injury, including cover of travel costs incurred by family members assisting repatriation or expatriation; and

• Death of the student, including cover of: 1. travel costs of family members to and from New Zealand; and 2. costs of repatriation or expatriation of the body; and 3. funeral expenses.

• You will be liable for expenses relating to a pre-existing condition that are not covered by your insurance.

Insurance policy name and provider (if you already have insurance)

How many months? *

From*

Select Date ×

Do you have any medical conditions?*

Yes

No

NZLC will request that you discuss the pre-existing condition with the insurance company we work with, and they will confirm what is and is not covered. You will be responsible for expenses related to the pre-existing condition that are not covered.

Please Specify*

Write Here

Are you under 18 years old (14 - 17 years old)?

*

Yes

No

Please complete the below section

Young Learner (14 - 17 years old)

Parent details

Full Name

Relationship

Email Address

Phone Number

Address*

Write Here

Q1. Accommodation

Will you stay in an NZLC-arranged homestay?*

Yes

No

Please specify:

*only if you already know

I understand I need to submit an "Education Consultant Appointed Homestay Form"

I understand I need to submit a “Designated Caregiver Appointment Form”

I understand I need to submit a “Confirmation Letter issued by Local High School”

With a parent (same person as above, parent must accompany student to school on firstday and bring their own valid visa and passport)

Phone Number in NZ

Email Address

Address in New Zealand

Write here

Upload the completed "Education Consultant Appointed Homestay Form" (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,jpg,png | Max number of file: 1 | Min number of file: 1

Select Files

Upload the completed "Confirmation Letter issued by Local High School" (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,jpg,png | Max number of file: 1 | Min number of file: 1

Select Files

Upload the completed “Designated Caregiver Appointment Form” (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,jpg,png | Max number of file: 1 | Min number of file: 1

Select Files

Q2. Airport Transfer

Have you requested an NZLC return airport pick up/drop off service?*

Yes

No

I understand I need to submit a “Non-NZLC Airport Transfer for Young Learners Form”

Upload the completed “Non-NZLC Airport Transfer for Young Learners Form” (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,jpg,png | Max number of file: 1 | Min number of file: 1

Select Files

Q3. Unaccompanied minor service

Are you using airline unaccompanied minor service?*

Yes

No

*

Arrival only

Departure only

Return (two ways)

Q4. After your course finishes

Will you go directly back to your home country after your NZLC course finishes?*

Yes

No

I understand I need to submit a “Handover for Young Learners Form”

Upload the completed “Handover for Young Learners Form” (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz:

Drag 'n Drop files here

Max file size: 976.56 KB. | Allowed file types: pdf,jpg,png | Max number of file: 1 | Min number of file: 1

Select Files

Comments

Please let us know if you have a question or if there is anything else you would like to add regarding your enrolment.

Write Here

Declaration

I understand and agree to the below declaration

The information provided is correct and I have not withheld any information that could materially affect this enrolment. I understand and accept the NZLC Privacy Policy and full NZLC Terms and Conditions included with this Enrolment Form in regards to all aspects of my enrolment including insurance cover. For students under 18 years, a parent needs to complete this section.

Student Name

Parent's name (required if student is currently under 18 years old)

*

Select Date ×

Declaration

I understand and agree to the below declaration

The information provided is correct and I have not withheld any information that could materially affect this enrolment. I understand and accept the NZLC Privacy Policy and full NZLC Terms and Conditions included with this Enrolment Form in regards to all aspects of my enrolment including insurance cover. For students under 18 years, a parent needs to complete this section.

Student name

Parent's name (required for under 18 years)

*

Select Date ×

NZLC ENROLMENT FORM Enrolment Form 2022/2023

Student Information

Upload your passport here:

Promotion

Christmas & New Year Break (18 years + only)

Course Details

See NZLC Fees and Courses Form

*Evening course option is available only for certain levels. Make sure you complete the placement test before sending us the enrolment form. If you do not have the required level, you must study in the morning..

The IELTS Preparation course has a minimum enrolment period of 6 weeks. You can either select the start date from the below options or select your prefered start date (subject to availability). Check here for more details.

Please let us know what programme you would like. We will get in touch with you about your request!

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request.

Please note, this options is subject to availability but NZLC team will get back to you with further information before confirming your request.

The IELTS Preparation course has a minimum enrolment period of 6 weeks. You can either select the start date from the below options or select your prefered start date (subject to availability). Check here for more details.

*Evening IELTS Preparation course option will be available from 8 January 2024.

Please let us know what programme you would like. We will get in touch with you about your request!

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request. In the meantime, you can find out more information about this programme here.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request.

Please note this option is subject to availability and may have a minimum required English level. The NZLC team will get in touch with you before confirming your request.

Please note, this options is subject to availability but NZLC team will get back to you with further information before confirming your request.

Arrival and Departure Information

NZLC Wellington is temporarily closed until further notice.

Accommodation

Homestay Preferences

Please note that most families in New Zealand have pets. If you choose the “No pets” option, we may not be able to meet all of your other preferences.

Travel & Medical Insurance

NZLC strongly recommends arranging policy through NZLC. If the student’s own insurance policy does not meet the conditions below, the student will be required to upgrade their policy or order one through NZLC, which can be requested at any time during the enrolment process or on arrival.

If you provide your own insurance policy, it must meet the requirements outlined in the NZQA Education (Pastoral Care of Tertiary and International Learners) Code of Practice 2021, as stated below:

• Covers travel to and from New Zealand and travel within New Zealand; and

• Medical care in New Zealand, including diagnosis, prescription, surgery, and hospitalization; and

• Repatriation or expatriation of the student as a result of serious illness or injury, including cover of travel costs incurred by family members assisting repatriation or expatriation; and

• Death of the student, including cover of: 1. travel costs of family members to and from New Zealand; and 2. costs of repatriation or expatriation of the body; and 3. funeral expenses.

• You will be liable for expenses relating to a pre-existing condition that are not covered by your insurance.

NZLC will request that you discuss the pre-existing condition with the insurance company we work with, and they will confirm what is and is not covered. You will be responsible for expenses related to the pre-existing condition that are not covered.

Are you under 18 years old (14 - 17 years old)?

Please complete the below section

Young Learner (14 - 17 years old)

Parent details

Q1. Accommodation

Upload the completed "Education Consultant Appointed Homestay Form" (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Upload the completed "Confirmation Letter issued by Local High School" (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Upload the completed “Designated Caregiver Appointment Form” (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Q2. Airport Transfer

Upload the completed “Non-NZLC Airport Transfer for Young Learners Form” (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz (Auckland campus):

Q3. Unaccompanied minor service

Q4. After your course finishes

Upload the completed “Handover for Young Learners Form” (If you are unable to complete the form now, you can also send this form separately to akenrol@nzlc.ac.nz:

Comments

Declaration

Declaration

Your form has been submitted

NZLC