Onehunga High School
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STUDENT DETAILS 
Family Name First Name
English Name Date of Birth
Sex  
Nationality First Language
Email  
Address in Home Country  
Home Telephone Fax
Passport Number  
Country of Issue Passport Issured on
Expires  

PARENT/ LEGAL GUARDIAN 
Father's Name Email
Home Address  
Home Telephone Mobile
Fax
Mother's Name Email
Home Address  
Home Telephone Mobile
Fax

AGENT/ EDUCATION CONSULTANT 
Name of Company Website
Consultant Email
Address  
Home Telephone Mobile
Fax

EDUCATION DETAILS 
How many years Junior High School have you completed?
How many years High School have you completed?
Name of present school
Subject you study this year

LANGUAGE 
How many years have you studied English?
Where did you study?
English Level
Subject you study this year

COURSE REQUIRED 
Length of Course
Subjects you would like to study
High School level you wish to enter
What are your plans for future study?

ACCOMMODATION 
Do you need homestay at arrival?
Your Religion?
What are your interests?
Sport / Hobbies
Do you like children?
Do you like pets?

MEDICAL INFORMATION 
Do you have medical insurance?
Name of insurance company
Address
Start Date
Expiry Date
Policy
Do you suffer any illness the school should know about?
If yes, please provide details including medications

STUDENT AGREEMENT 
I have read and understood the information concerning Onehunga High School. I agree to abide by the school rules and New Zealand Law at all times. Yes
Student Name
Date

PARENTAL AGREEMENT 
I / We accept the Offer of Place of Onehunga High School on behalf of   (Student)
I / We accept ththat our child shall be subject to the rules and discipline of Onehunga High School
I / We allow Onehunga High School to take any necessary disciplinary action if our child breaks the New Zealand Law or Onehunga High School rules.
I / We have read, understood and agree tot he terms and conditions of the refund policy.
Name /s   
Date /s   
Relationship to student
If other person please state relationship to student

SUBMIT APPLICATION 


 
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